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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124971552 | 12497155 | 2 | F | 20160617 | 20160725 | 20160624 | 20160812 | EXP | US-GLAXOSMITHKLINE-US2016087321 | GLAXOSMITHKLINE | 44.17 | YR | F | Y | 0.00000 | 20160812 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124971552 | 12497155 | 1 | PS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Subcutaneous | 6 MG, UNK | C751365 | 20080 | 6 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||
| 124971552 | 12497155 | 2 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Subcutaneous | 6 MG, UNK | C752478 | 20080 | 6 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||
| 124971552 | 12497155 | 3 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | U | 0 | |||||||||||
| 124971552 | 12497155 | 4 | C | MAGNESIUM | MAGNESIUM | 1 | U | 0 | |||||||||||
| 124971552 | 12497155 | 5 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | U | 0 | |||||||||||
| 124971552 | 12497155 | 6 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 124971552 | 12497155 | 7 | C | TOPIRAMATE. | TOPIRAMATE | 1 | U | 0 | |||||||||||
| 124971552 | 12497155 | 8 | C | VITAMIN C | ASCORBIC ACID | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124971552 | 12497155 | 1 | Migraine |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124971552 | 12497155 | Device use error | |
| 124971552 | 12497155 | Foreign body | |
| 124971552 | 12497155 | Needle issue | |
| 124971552 | 12497155 | Product quality issue |
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 |
|---|---|---|---|---|---|---|
| 124971552 | 12497155 | 1 | 20160602 | 0 | ||
| 124971552 | 12497155 | 2 | 20160617 | 0 |