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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125267661 | 12526766 | 1 | I | 20160527 | 20160623 | 20160705 | 20160705 | EXP | NO-NOMAADVRE-RELISM-2016-22158 | NO-WATSON-2016-14205 | WATSON | 14.49 | YR | F | Y | 91.00000 | KG | 20160705 | CN | NO | NO |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125267661 | 12526766 | 1 | PS | DOXYCYCLINE. | DOXYCYCLINE | 1 | Oral | 2 G, SELF-INTOXICATED DURING THE NIGHT, INTAKE SEPARATED IN TWO BY 5.5 HOURS | U | UNKNOWN | 65041 | 2 | G | TABLET | |||||
| 125267661 | 12526766 | 2 | SS | Paracetamol (Unknown) | ACETAMINOPHEN | 1 | Oral | 12 G, SELF-INTOXICATED DURING THE NIGHT, INTAKE SEPARATED IN TWO BY 5.5 HOURS | U | UNCONFIRMED | 0 | 12 | G | UNK | |||||
| 125267661 | 12526766 | 3 | SS | Metamizole sodium (Unknown) | METAMIZOLE SODIUM | 1 | Oral | 3 G, SELF-INTOXICATED DURING THE NIGHT, INTAKE SEPARATED IN TWO BY 5.5 HOURS | U | UNCONFIRMED | 0 | 3 | G | UNK | |||||
| 125267661 | 12526766 | 4 | SS | IBUX | IBUPROFEN | 1 | Oral | 2 G, SELF-INTOXICATED DURING THE NIGHT, INTAKE SEPARATED IN TWO BY 5.5 HOURS | U | 0 | 2 | G |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125267661 | 12526766 | 1 | Product used for unknown indication |
| 125267661 | 12526766 | 2 | Product used for unknown indication |
| 125267661 | 12526766 | 3 | Product used for unknown indication |
| 125267661 | 12526766 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125267661 | 12526766 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125267661 | 12526766 | Abdominal pain upper | |
| 125267661 | 12526766 | Nausea | |
| 125267661 | 12526766 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 125267661 | 12526766 | 1 | 20160527 | 0 | ||
| 125267661 | 12526766 | 2 | 20160527 | 0 | ||
| 125267661 | 12526766 | 3 | 20160527 | 0 | ||
| 125267661 | 12526766 | 4 | 20160527 | 0 |