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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125255001 | 12525500 | 1 | I | 20160622 | 20160704 | 20160704 | PER | US-ASTRAZENECA-2016SE69253 | ASTRAZENECA | 0.00 | M | Y | 81.60000 | KG | 20160705 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125255001 | 12525500 | 1 | PS | BYETTA | EXENATIDE | 1 | Subcutaneous | 22200 | 10 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | BID | |||||||
| 125255001 | 12525500 | 2 | SS | LISINOPRIL AND HYDROCHLOROTHIAZIDE | HYDROCHLOROTHIAZIDELISINOPRIL | 1 | Oral | 10/12.5 MG, DAILY | 0 | TABLET | |||||||||
| 125255001 | 12525500 | 3 | SS | METOPROLOL SUCCINATE. | METOPROLOL SUCCINATE | 1 | Oral | 0 | .5 | DF | MODIFIED-RELEASE TABLET | QD | |||||||
| 125255001 | 12525500 | 4 | C | WAFARIN SODIUM | 2 | Unknown | 0 | 5 | MG | QD | |||||||||
| 125255001 | 12525500 | 5 | C | PIOGLITAZONE. | PIOGLITAZONE | 1 | Unknown | 0 | 30 | MG | QD | ||||||||
| 125255001 | 12525500 | 6 | C | NEFAZODONE HCL | 2 | Unknown | 150.0MG UNKNOWN | 0 | 150 | MG | |||||||||
| 125255001 | 12525500 | 7 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 850 MG | 0 | ||||||||||
| 125255001 | 12525500 | 8 | C | MEGA RED FISH OIL | 2 | Unknown | 0 | 350 | MG | QD | |||||||||
| 125255001 | 12525500 | 9 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Unknown | 0 | 35 | MG | QD | ||||||||
| 125255001 | 12525500 | 10 | C | DHEA | PRASTERONE | 1 | Unknown | 0 | 50 | MG | QD | ||||||||
| 125255001 | 12525500 | 11 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Urethral | 0 | 2000 | IU | QD | ||||||||
| 125255001 | 12525500 | 12 | C | COENZYME Q-10 | 2 | Unknown | 0 | 200 | MG | QD | |||||||||
| 125255001 | 12525500 | 13 | C | CETIRIZINE HCL | CETIRIZINE HYDROCHLORIDE | 1 | Unknown | 0 | 10 | MG | QD | ||||||||
| 125255001 | 12525500 | 14 | C | BIOTIN | BIOTIN | 1 | Unknown | 0 | 1000 | UG | QD | ||||||||
| 125255001 | 12525500 | 15 | C | BAYER LOW DOSE ASPIRIN | 2 | Unknown | 0 | 81 | MG | QD | |||||||||
| 125255001 | 12525500 | 16 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | 0 | 2500 | UG | QD | ||||||||
| 125255001 | 12525500 | 17 | C | ATORVASTATIN CALCIUM. | ATORVASTATIN CALCIUM | 1 | Unknown | 0 | 20 | MG | QD | ||||||||
| 125255001 | 12525500 | 18 | C | LEVOTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | 100 | UG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125255001 | 12525500 | 1 | Type 2 diabetes mellitus |
| 125255001 | 12525500 | 3 | Arrhythmia |
| 125255001 | 12525500 | 4 | Arrhythmia |
| 125255001 | 12525500 | 6 | Antidepressant therapy |
| 125255001 | 12525500 | 7 | Diabetes mellitus |
| 125255001 | 12525500 | 8 | Multiple allergies |
| 125255001 | 12525500 | 9 | Diabetes mellitus |
| 125255001 | 12525500 | 13 | Hypersensitivity |
| 125255001 | 12525500 | 18 | Thyroid therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125255001 | 12525500 | Body height decreased | |
| 125255001 | 12525500 | Heart rate irregular | |
| 125255001 | 12525500 | Intentional product misuse | |
| 125255001 | 12525500 | Product quality issue | |
| 125255001 | 12525500 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 125255001 | 12525500 | 1 | 2005 | 0 | ||
| 125255001 | 12525500 | 3 | 201606 | 0 | ||
| 125255001 | 12525500 | 4 | 201606 | 0 | ||
| 125255001 | 12525500 | 7 | 2004 | 0 |