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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125144062 | 12514406 | 2 | F | 2015 | 20160629 | 20160630 | 20160714 | EXP | US-JNJFOC-20160527967 | JOHNSON AND JOHNSON | 61.72 | YR | A | F | Y | 66.23000 | KG | 20160714 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125144062 | 12514406 | 1 | PS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 22406 | 15 | MG | TABLET | BID | ||||
| 125144062 | 12514406 | 2 | SS | TYLENOL | ACETAMINOPHEN | 1 | Oral | Y | N | 19872 | TABLETS | ||||||||
| 125144062 | 12514406 | 3 | SS | TYLENOL | ACETAMINOPHEN | 1 | Oral | 1000 MG (500 MG 1-2 TABLETS) AS NECESSARY EVERY 6 HOURS | Y | N | 19872 | TABLETS | |||||||
| 125144062 | 12514406 | 4 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | Y | 0 | TABLET | |||||||||
| 125144062 | 12514406 | 5 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | Y | 0 | 75 | MG | TABLET | QD | ||||||
| 125144062 | 12514406 | 6 | SS | ASPIRIN. | ASPIRIN | 1 | Oral | Y | 0 | 81 | MG | TABLETS | QD | ||||||
| 125144062 | 12514406 | 7 | SS | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 5-325 MG 1-2 TABLETS EVERY 4-6 HOURS AS NECESSARY | Y | 0 | TABLETS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125144062 | 12514406 | 1 | Thrombosis |
| 125144062 | 12514406 | 3 | Pain |
| 125144062 | 12514406 | 4 | Peripheral vascular disorder |
| 125144062 | 12514406 | 5 | Peripheral vascular disorder |
| 125144062 | 12514406 | 6 | Peripheral vascular disorder |
| 125144062 | 12514406 | 7 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125144062 | 12514406 | LT |
| 125144062 | 12514406 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125144062 | 12514406 | Coagulopathy | |
| 125144062 | 12514406 | Diverticulum intestinal haemorrhagic | |
| 125144062 | 12514406 | Epistaxis | |
| 125144062 | 12514406 | Platelet dysfunction | |
| 125144062 | 12514406 | Shock haemorrhagic |
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 |
|---|---|---|---|---|---|---|
| 125144062 | 12514406 | 1 | 20150421 | 201505 | 0 | |
| 125144062 | 12514406 | 3 | 201505 | 0 | ||
| 125144062 | 12514406 | 4 | 201505 | 0 | ||
| 125144062 | 12514406 | 5 | 2015 | 20150505 | 0 | |
| 125144062 | 12514406 | 6 | 2015 | 20150505 | 0 | |
| 125144062 | 12514406 | 7 | 201505 | 0 |