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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125002102 | 12500210 | 2 | F | 20160616 | 20160714 | 20160627 | 20160721 | EXP | JP-GLAXOSMITHKLINE-JP2016JPN089242 | GLAXOSMITHKLINE | 86.02 | YR | F | Y | 33.00000 | KG | 20160721 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125002102 | 12500210 | 1 | PS | VALTREX | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | 3000 MG, 1D | Y | 20487 | 3000 | MG | TABLET | QD | |||||
| 125002102 | 12500210 | 2 | SS | VALTREX | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | 500 MG, 1D | Y | 20487 | 500 | MG | TABLET | QD | |||||
| 125002102 | 12500210 | 3 | C | CELECOX | CELECOXIB | 1 | UNK | 0 | |||||||||||
| 125002102 | 12500210 | 4 | C | LYRICA | PREGABALIN | 1 | UNK | 0 | |||||||||||
| 125002102 | 12500210 | 5 | C | UNKNOWN DRUG | UNSPECIFIED INGREDIENT | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125002102 | 12500210 | 1 | Herpes zoster |
| 125002102 | 12500210 | 5 | Angina pectoris |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125002102 | 12500210 | OT |
| 125002102 | 12500210 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125002102 | 12500210 | Decreased appetite | |
| 125002102 | 12500210 | Malaise | |
| 125002102 | 12500210 | Renal impairment |
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 |
|---|---|---|---|---|---|---|
| 125002102 | 12500210 | 1 | 20160614 | 0 | ||
| 125002102 | 12500210 | 2 | 20160616 | 20160616 | 0 |