Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122903726 | 12290372 | 6 | F | 20160810 | 20160830 | 20160421 | 20160901 | PER | PHEH2016US009667 | NOVARTIS | 52.19 | YR | M | Y | 85.73000 | KG | 20160901 | CN | COUNTRY NOT SPECIFIED | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122903726 | 12290372 | 1 | PS | ENTRESTO | SACUBITRILVALSARTAN | 1 | Oral | 24/26 MG, BID | Y | 207620 | 50 | MG | TABLET | BID | |||||
| 122903726 | 12290372 | 2 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | 20 MG, PRN | U | 0 | 20 | MG | |||||||
| 122903726 | 12290372 | 3 | C | COREG | CARVEDILOL | 1 | Unknown | 0.5 DF, BID | U | 0 | .5 | DF | TABLET | BID | |||||
| 122903726 | 12290372 | 4 | C | COREG | CARVEDILOL | 1 | Oral | 25 MG, QD | U | 0 | 25 | MG | TABLET | QD | |||||
| 122903726 | 12290372 | 5 | C | PRAVACHOL | PRAVASTATIN SODIUM | 1 | Oral | 1 DF, QD | U | 0 | 1 | DF | TABLET | QD | |||||
| 122903726 | 12290372 | 6 | C | ASPIRIN 81 | ASPIRIN | 1 | Oral | 81 MG, QD | U | 0 | 81 | MG | TABLET | QD | |||||
| 122903726 | 12290372 | 7 | C | XANAX | ALPRAZOLAM | 1 | Oral | 0.5 MG, QD | U | 0 | .5 | MG | TABLET | QD | |||||
| 122903726 | 12290372 | 8 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 25 MG EVERY FOUR HOUR AS NEEDED | U | 0 | 25 | MG | CAPSULE | ||||||
| 122903726 | 12290372 | 9 | C | MULTI VITAMIN | VITAMINS | 1 | Unknown | 1 DF, QD | U | 0 | 1 | DF | QD | ||||||
| 122903726 | 12290372 | 10 | C | ALBUTEROL. | ALBUTEROL | 1 | Respiratory (inhalation) | 2.5 MG (PER 3ML), QID | U | 0 | 2.5 | MG | QID | ||||||
| 122903726 | 12290372 | 11 | C | DULERA | FORMOTEROL FUMARATE DIHYDRATEMOMETASONE FUROATE | 1 | Respiratory (inhalation) | 2 DF, BID | U | 0 | 2 | DF | BID | ||||||
| 122903726 | 12290372 | 12 | C | ULTRAVATE | HALOBETASOL PROPIONATE | 1 | Unknown | U | 0 | CREAM | |||||||||
| 122903726 | 12290372 | 13 | C | DELTASONE | PREDNISONE | 1 | Oral | 1 DF, QOD | U | 0 | 1 | DF | TABLET | ||||||
| 122903726 | 12290372 | 14 | C | ALDACTONE | SPIRONOLACTONE | 1 | Oral | 1 DF, QD | U | 0 | 1 | DF | TABLET | QD | |||||
| 122903726 | 12290372 | 15 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | Oral | 0.5 MG, QD | U | 0 | .5 | MG | QD | ||||||
| 122903726 | 12290372 | 16 | C | ASA | ASPIRIN | 1 | Oral | 81 MG, QD | U | 0 | 81 | MG | QD | ||||||
| 122903726 | 12290372 | 17 | C | PREDNISONE. | PREDNISONE | 1 | Oral | 100 MG, QD | U | 0 | 100 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122903726 | 12290372 | 1 | Cardiac failure |
| 122903726 | 12290372 | 2 | Product used for unknown indication |
| 122903726 | 12290372 | 3 | Product used for unknown indication |
| 122903726 | 12290372 | 5 | Product used for unknown indication |
| 122903726 | 12290372 | 6 | Product used for unknown indication |
| 122903726 | 12290372 | 7 | Product used for unknown indication |
| 122903726 | 12290372 | 8 | Product used for unknown indication |
| 122903726 | 12290372 | 9 | Product used for unknown indication |
| 122903726 | 12290372 | 10 | Product used for unknown indication |
| 122903726 | 12290372 | 11 | Product used for unknown indication |
| 122903726 | 12290372 | 12 | Product used for unknown indication |
| 122903726 | 12290372 | 13 | Product used for unknown indication |
| 122903726 | 12290372 | 14 | Product used for unknown indication |
| 122903726 | 12290372 | 15 | Product used for unknown indication |
| 122903726 | 12290372 | 16 | Product used for unknown indication |
| 122903726 | 12290372 | 17 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122903726 | 12290372 | Back pain | |
| 122903726 | 12290372 | Blister | |
| 122903726 | 12290372 | Dyspnoea | |
| 122903726 | 12290372 | Feeling jittery | |
| 122903726 | 12290372 | Herpes zoster | |
| 122903726 | 12290372 | Hypotension | |
| 122903726 | 12290372 | Paraesthesia | |
| 122903726 | 12290372 | Rash |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 122903726 | 12290372 | 1 | 20160320 | 0 |