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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124325702 | 12432570 | 2 | F | 201604 | 20160714 | 20160603 | 20160718 | EXP | US-ASTELLAS-2016US016677 | ASTELLAS | 82.81 | YR | M | Y | 0.00000 | 20160718 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124325702 | 12432570 | 1 | PS | MYRBETRIQ | MIRABEGRON | 1 | Unknown | Y | H1500116 | 202611 | 25 | MG | TABLET | QD | |||||
| 124325702 | 12432570 | 2 | SS | MYRBETRIQ | MIRABEGRON | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | 202611 | TABLET | |||||||||
| 124325702 | 12432570 | 3 | SS | CLINDAMYCIN HCL | CLINDAMYCIN HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 4 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 5 | C | METAMUCIL | PLANTAGO SEED | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 6 | C | IRBESARTAN. | IRBESARTAN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 7 | C | FISH OIL | FISH OIL | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 8 | C | FINASTERIDE. | FINASTERIDE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 9 | C | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 10 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 11 | C | SAPHRIS | ASENAPINE MALEATE | 1 | Unknown | UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 124325702 | 12432570 | 12 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124325702 | 12432570 | 1 | Urinary incontinence |
| 124325702 | 12432570 | 3 | Product used for unknown indication |
| 124325702 | 12432570 | 4 | Product used for unknown indication |
| 124325702 | 12432570 | 5 | Product used for unknown indication |
| 124325702 | 12432570 | 6 | Product used for unknown indication |
| 124325702 | 12432570 | 7 | Product used for unknown indication |
| 124325702 | 12432570 | 8 | Product used for unknown indication |
| 124325702 | 12432570 | 9 | Product used for unknown indication |
| 124325702 | 12432570 | 10 | Product used for unknown indication |
| 124325702 | 12432570 | 11 | Product used for unknown indication |
| 124325702 | 12432570 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124325702 | 12432570 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124325702 | 12432570 | Rash pruritic | |
| 124325702 | 12432570 | Tooth extraction | |
| 124325702 | 12432570 | Urticaria |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |