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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125208321 | 12520832 | 1 | I | 20160421 | 0 | 20160701 | 20160701 | DIR | 8.00 | MON | M | N | 0.00000 | 20160630 | N | PH | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125208321 | 12520832 | 1 | PS | DOCUSATE ORAL SOLUTION, 10 MG/ML | DOCUSATE SODIUM | 1 | 5 MG BID PER TUBE | D | D | 20351513 | 0 | 5 | MG | BID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125208321 | 12520832 | 1 | Gastrointestinal disorder |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125208321 | 12520832 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125208321 | 12520832 | Burkholderia test positive | |
125208321 | 12520832 | Drug dose omission |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
125208321 | 12520832 | HP |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
125208321 | 12520832 | 1 | 20160421 | 20160429 | 0 |