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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123670712 | 12367071 | 2 | F | 20160627 | 20160513 | 20160704 | EXP | US-PAR PHARMACEUTICAL COMPANIES-2016SCPR015433 | PAR | 0.00 | Y | 0.00000 | 20160704 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123670712 | 12367071 | 1 | PS | Diltiazem HCl | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | 74984 | ||||||||||
| 123670712 | 12367071 | 2 | SS | Diltiazem HCl | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | 74984 | ||||||||||
| 123670712 | 12367071 | 3 | SS | Diltiazem HCl | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | 74984 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123670712 | 12367071 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123670712 | 12367071 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123670712 | 12367071 | Mitral valve prolapse | |
| 123670712 | 12367071 | Product quality issue |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |