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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125007223 | 12500722 | 3 | F | 201601 | 20160819 | 20160627 | 20160826 | EXP | IT-FRI-1000085538 | FOREST | 28.00 | YR | F | Y | 39.00000 | KG | 20160826 | OT | DK | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125007223 | 12500722 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 5 MG | 21323 | 5 | MG | QD | |||||||
| 125007223 | 12500722 | 2 | SS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 10 MG | 21323 | 10 | MG | QD | |||||||
| 125007223 | 12500722 | 3 | C | BUSCOPAN | BUTYLSCOPOLAMINE BROMIDE | 1 | Oral | 0 | 10 | MG | |||||||||
| 125007223 | 12500722 | 4 | C | PREDNISONE. | PREDNISONE | 1 | Oral | 20 MG | 0 | 20 | MG | QD | |||||||
| 125007223 | 12500722 | 5 | C | RIVOTRIL | CLONAZEPAM | 1 | Oral | UNIT DOSE: 10-15 DROPS (PRN) | 0 | ORAL DROPS | |||||||||
| 125007223 | 12500722 | 6 | C | FORTIMEL CREME | 2 | Oral | 2 DFS | 0 | 2 | DF | QD | ||||||||
| 125007223 | 12500722 | 7 | C | CALCITRIOL. | CALCITRIOL | 1 | Oral | .25 MG | 0 | .25 | MG | QD | |||||||
| 125007223 | 12500722 | 8 | C | OPTALIDON | ACETAMINOPHENCAFFEINE OR CAFFEINEPROPYPHENAZONE OR IBUPROFEN | 1 | Oral | 1 DF | 0 | 1 | DF | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125007223 | 12500722 | 1 | Pain |
| 125007223 | 12500722 | 3 | Abdominal pain |
| 125007223 | 12500722 | 4 | Crohn's disease |
| 125007223 | 12500722 | 5 | Insomnia |
| 125007223 | 12500722 | 6 | Nutritional supplementation |
| 125007223 | 12500722 | 7 | Vitamin supplementation |
| 125007223 | 12500722 | 8 | Headache |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125007223 | 12500722 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125007223 | 12500722 | Dehydration | |
| 125007223 | 12500722 | Hyperhidrosis | |
| 125007223 | 12500722 | Hypotension | |
| 125007223 | 12500722 | Product use issue | |
| 125007223 | 12500722 | Syncope | |
| 125007223 | 12500722 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 125007223 | 12500722 | 1 | 201601 | 20160319 | 0 | |
| 125007223 | 12500722 | 2 | 20160320 | 0 | ||
| 125007223 | 12500722 | 3 | 20160324 | 20160324 | 0 | |
| 125007223 | 12500722 | 4 | 20160304 | 0 | ||
| 125007223 | 12500722 | 5 | 2013 | 0 | ||
| 125007223 | 12500722 | 6 | 20160219 | 0 | ||
| 125007223 | 12500722 | 7 | 20160221 | 0 | ||
| 125007223 | 12500722 | 8 | 20160330 | 20160330 | 0 |