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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125047173 | 12504717 | 3 | F | 20160620 | 20160808 | 20160628 | 20160907 | PER | US-JNJFOC-20160618891 | JANSSEN | 63.60 | YR | A | F | Y | 63.50000 | KG | 20160907 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125047173 | 12504717 | 1 | PS | DURAGESIC | FENTANYL | 1 | Transdermal | N | 1415597P1;1509823P1 | 19813 | MATRIX PATCH | ||||||||
| 125047173 | 12504717 | 2 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Oral | 0 | 25 | UG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125047173 | 12504717 | 1 | Pain |
| 125047173 | 12504717 | 2 | Hypothyroidism |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125047173 | 12504717 | Drug dose omission | |
| 125047173 | 12504717 | Product quality issue | |
| 125047173 | 12504717 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 125047173 | 12504717 | 1 | 201511 | 0 |