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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124054372 | 12405437 | 2 | F | 20160810 | 20160525 | 20160817 | EXP | JP-ABBVIE-16P-087-1637123-00 | ABBVIE | 51.00 | YR | F | Y | 0.00000 | 20160817 | OT | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124054372 | 12405437 | 1 | PS | CLARITH | CLARITHROMYCIN | 1 | Oral | U | UNKNOWN | 50662 | |||||||||
| 124054372 | 12405437 | 2 | SS | TEGRETOL | CARBAMAZEPINE | 1 | Oral | U | UNKNOWN | 0 | |||||||||
| 124054372 | 12405437 | 3 | SS | PL | ACETAMINOPHENCAFFEINEPROMETHAZINESALICYLAMIDE | 1 | Oral | U | UNKNOWN | 0 | |||||||||
| 124054372 | 12405437 | 4 | SS | GASTER | FAMOTIDINE | 1 | Oral | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124054372 | 12405437 | 1 | Product used for unknown indication |
| 124054372 | 12405437 | 2 | Product used for unknown indication |
| 124054372 | 12405437 | 3 | Product used for unknown indication |
| 124054372 | 12405437 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124054372 | 12405437 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124054372 | 12405437 | Erythema multiforme |
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 |
|---|---|---|---|---|---|---|
| 124054372 | 12405437 | 1 | 201504 | 201504 | 0 |