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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125115612 | 12511561 | 2 | F | 20160504 | 20160721 | 20160629 | 20160725 | EXP | IT-ROCHE-1784122 | ROCHE | 60.75 | YR | F | Y | 0.00000 | 20160725 | OT | IT | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125115612 | 12511561 | 1 | PS | DIAZEPAM. | DIAZEPAM | 1 | Oral | Y | 13263 | ORAL SOLUTION | |||||||||
125115612 | 12511561 | 2 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 0 | |||||||||||
125115612 | 12511561 | 3 | C | EFIENT | PRASUGREL HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
125115612 | 12511561 | 4 | C | LUVION (ITALY) | 2 | Oral | 0 | ||||||||||||
125115612 | 12511561 | 5 | C | TORVAST | ATORVASTATIN | 1 | Oral | 0 | |||||||||||
125115612 | 12511561 | 6 | C | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Oral | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125115612 | 12511561 | 1 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125115612 | 12511561 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125115612 | 12511561 | Confusional state | |
125115612 | 12511561 | Drug abuse | |
125115612 | 12511561 | Fall | |
125115612 | 12511561 | Fracture | |
125115612 | 12511561 | Headache | |
125115612 | 12511561 | Injury |
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 |
---|---|---|---|---|---|---|
125115612 | 12511561 | 1 | 20150101 | 20160504 | 0 |