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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123418262 | 12341826 | 2 | F | 20130116 | 20160830 | 20160506 | 20160906 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-27580BI | BOEHRINGER INGELHEIM | 66.25 | YR | M | Y | 0.00000 | 20160906 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123418262 | 12341826 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 300 MG | 22512 | 150 | MG | CAPSULE | BID | ||||||
| 123418262 | 12341826 | 2 | C | LANTUS | INSULIN GLARGINE | 1 | Unknown | FORMULATION:SOLUTION INJECTION; STRENGTH AND DAILY DOSE: 40 UNIT | 0 | QD | |||||||||
| 123418262 | 12341826 | 3 | C | METFORMIN HCL | METFORMIN HYDROCHLORIDE | 1 | Oral | 2000 MG | 0 | 1000 | MG | TABLET | BID | ||||||
| 123418262 | 12341826 | 4 | C | NORTRIPTYLINE HCL | NORTRIPTYLINE HYDROCHLORIDE | 1 | Oral | 25 MG | 0 | 25 | MG | CAPSULE | QD | ||||||
| 123418262 | 12341826 | 5 | C | LOVASTATIN. | LOVASTATIN | 1 | Oral | 20 MG | 0 | 20 | MG | TABLET | QD | ||||||
| 123418262 | 12341826 | 6 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Oral | 5 MG | 0 | 5 | MG | TABLET | QD | ||||||
| 123418262 | 12341826 | 7 | C | GABAPENTIN. | GABAPENTIN | 1 | Oral | 600 MG | 0 | 300 | MG | CAPSULE | BID | ||||||
| 123418262 | 12341826 | 8 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 81 MG | 0 | 81 | MG | TABLET | QD | ||||||
| 123418262 | 12341826 | 9 | C | NITROSTAT | NITROGLYCERIN | 1 | Sublingual | 1 TAB UNDER THE TONGUE EVERY 5 MINUTESFOR UP TO 3 DOSES | 0 | .4 | MG | TABLET | |||||||
| 123418262 | 12341826 | 10 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 2.5 MG | 0 | 2.5 | MG | TABLET | QD | ||||||
| 123418262 | 12341826 | 11 | C | MAGNESIUM OXIDE. | MAGNESIUM OXIDE | 1 | Oral | 800 MG | 0 | 400 | MG | TABLET | BID | ||||||
| 123418262 | 12341826 | 12 | C | AMIODARONE HCL | AMIODARONE HYDROCHLORIDE | 1 | Oral | 400 MG | 0 | 200 | MG | TABLET | BID | ||||||
| 123418262 | 12341826 | 13 | C | CARVEDILOL. | CARVEDILOL | 1 | Oral | 50 MG | 0 | 25 | MG | TABLET | BID | ||||||
| 123418262 | 12341826 | 14 | C | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | Oral | STRENGTH AND DAILY DOSE: 20 MEQ, CRYSTAL EXTENDED RELEASE | 0 | TABLET | QD | ||||||||
| 123418262 | 12341826 | 15 | C | LASIX | FUROSEMIDE | 1 | Oral | 20 MG | 0 | 20 | MG | TABLET | QD | ||||||
| 123418262 | 12341826 | 16 | C | LORTAB | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123418262 | 12341826 | 1 | Atrial fibrillation |
| 123418262 | 12341826 | 2 | Product used for unknown indication |
| 123418262 | 12341826 | 3 | Product used for unknown indication |
| 123418262 | 12341826 | 4 | Product used for unknown indication |
| 123418262 | 12341826 | 5 | Product used for unknown indication |
| 123418262 | 12341826 | 6 | Product used for unknown indication |
| 123418262 | 12341826 | 7 | Product used for unknown indication |
| 123418262 | 12341826 | 8 | Product used for unknown indication |
| 123418262 | 12341826 | 9 | Chest pain |
| 123418262 | 12341826 | 10 | Product used for unknown indication |
| 123418262 | 12341826 | 11 | Product used for unknown indication |
| 123418262 | 12341826 | 12 | Product used for unknown indication |
| 123418262 | 12341826 | 13 | Product used for unknown indication |
| 123418262 | 12341826 | 14 | Product used for unknown indication |
| 123418262 | 12341826 | 15 | Product used for unknown indication |
| 123418262 | 12341826 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123418262 | 12341826 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123418262 | 12341826 | Gastrointestinal haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 123418262 | 12341826 | 1 | 20120703 | 0 |