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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123407602 | 12340760 | 2 | F | 20130727 | 20160722 | 20160506 | 20160729 | PER | US-ELI_LILLY_AND_COMPANY-US201605001687 | ELI LILLY AND CO | 51.26 | YR | M | Y | 120.18000 | KG | 20160729 | MD | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123407602 | 12340760 | 1 | PS | AXIRON | TESTOSTERONE | 1 | Unknown | UNK UNK, QD | N | U | 22504 | ORAL LIQUID | QD | ||||||
| 123407602 | 12340760 | 2 | SS | AXIRON | TESTOSTERONE | 1 | Topical | 60 MG, QD | N | U | 22504 | 60 | MG | ORAL LIQUID | QD | ||||
| 123407602 | 12340760 | 3 | SS | FORTESTA | TESTOSTERONE | 1 | Topical | 40 MG, QD | U | U | 0 | 40 | MG | QD | |||||
| 123407602 | 12340760 | 4 | SS | FORTESTA | TESTOSTERONE | 1 | Unknown | 60 MG, QD | U | U | 0 | 60 | MG | QD | |||||
| 123407602 | 12340760 | 5 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | Intramuscular | UNK UNK, 2/M | U | U | 0 | ||||||||
| 123407602 | 12340760 | 6 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | Intramuscular | 200 MG, MONTHLY (1/M) | U | U | 0 | 200 | MG | /month | |||||
| 123407602 | 12340760 | 7 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | Intramuscular | 300 MG, MONTHLY (1/M) | U | U | 0 | 300 | MG | /month | |||||
| 123407602 | 12340760 | 8 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | Intramuscular | 200 MG, EVERY 3 WEEKS | U | U | 0 | 200 | MG | ||||||
| 123407602 | 12340760 | 9 | C | AZILECT | RASAGILINE MESYLATE | 1 | Oral | 1 MG, QD | 0 | 1 | MG | TABLET | QD | ||||||
| 123407602 | 12340760 | 10 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Oral | 6 MG, EACH EVENING | 0 | 6 | MG | TABLET | QD | ||||||
| 123407602 | 12340760 | 11 | C | FISH OIL | FISH OIL | 1 | Oral | 2000 MG, QD | U | 0 | 2000 | MG | CAPSULE | QD | |||||
| 123407602 | 12340760 | 12 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 500 MG, BID | 0 | 500 | MG | TABLET | BID | ||||||
| 123407602 | 12340760 | 13 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Oral | 40 MG, QD | 0 | 40 | MG | TABLET | QD | ||||||
| 123407602 | 12340760 | 14 | C | LASIX | FUROSEMIDE | 1 | Oral | UNK UNK, PRN | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123407602 | 12340760 | 1 | Androgen replacement therapy |
| 123407602 | 12340760 | 2 | Hypogonadism |
| 123407602 | 12340760 | 3 | Androgen replacement therapy |
| 123407602 | 12340760 | 4 | Hypogonadism |
| 123407602 | 12340760 | 5 | Androgen replacement therapy |
| 123407602 | 12340760 | 6 | Hypogonadism |
| 123407602 | 12340760 | 9 | Parkinson's disease |
| 123407602 | 12340760 | 10 | Tourette's disorder |
| 123407602 | 12340760 | 12 | Diabetes mellitus |
| 123407602 | 12340760 | 13 | Gastrooesophageal reflux disease |
| 123407602 | 12340760 | 14 | Fluid retention |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123407602 | 12340760 | HO |
| 123407602 | 12340760 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123407602 | 12340760 | Deep vein thrombosis | |
| 123407602 | 12340760 | Thrombophlebitis superficial |
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 |
|---|---|---|---|---|---|---|
| 123407602 | 12340760 | 1 | 2012 | 20140205 | 0 | |
| 123407602 | 12340760 | 3 | 20130725 | 0 | ||
| 123407602 | 12340760 | 4 | 20131029 | 0 | ||
| 123407602 | 12340760 | 5 | 20120724 | 0 | ||
| 123407602 | 12340760 | 7 | 20121203 | 0 | ||
| 123407602 | 12340760 | 10 | 1985 | 0 | ||
| 123407602 | 12340760 | 12 | 2010 | 0 | ||
| 123407602 | 12340760 | 13 | 2012 | 0 | ||
| 123407602 | 12340760 | 14 | 2012 | 0 |