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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124659522 | 12465952 | 2 | F | 201604 | 20160531 | 20160614 | 20160721 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-35212BP | BOEHRINGER INGELHEIM | 72.17 | YR | F | Y | 0.00000 | 20160721 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124659522 | 12465952 | 1 | PS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 50 MG | Y | 654529A | 21698 | 150 | MG | TABLET | |||||
| 124659522 | 12465952 | 2 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 3 ANZ | Y | 654529A | 21698 | TABLET | QD | ||||||
| 124659522 | 12465952 | 3 | C | TAMOXIFEN | TAMOXIFEN | 1 | Oral | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124659522 | 12465952 | 1 | Dyspepsia |
| 124659522 | 12465952 | 2 | Dyspepsia |
| 124659522 | 12465952 | 3 | Breast cancer |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124659522 | 12465952 | Drug ineffective | |
| 124659522 | 12465952 | Incorrect drug administration duration | |
| 124659522 | 12465952 | Medication error |
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 |
|---|---|---|---|---|---|---|
| 124659522 | 12465952 | 1 | 201604 | 201605 | 0 | |
| 124659522 | 12465952 | 3 | 201602 | 0 |