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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125295133 | 12529513 | 3 | F | 20160607 | 20160819 | 20160706 | 20160826 | EXP | JP-ASTRAZENECA-2016SE72623 | ASTRAZENECA | 62.00 | YR | F | Y | 47.00000 | KG | 20160826 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125295133 | 12529513 | 1 | PS | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Oral | Y | U | 21153 | 20 | MG | CAPSULE | QD | |||||
| 125295133 | 12529513 | 2 | SS | CRAVIT | LEVOFLOXACIN | 1 | Oral | 2000 | MG | Y | U | 0 | 500 | MG | TABLET | QD | |||
| 125295133 | 12529513 | 3 | SS | CRAVIT | LEVOFLOXACIN | 1 | Oral | 2000 | MG | Y | U | 0 | 500 | MG | TABLET | QD | |||
| 125295133 | 12529513 | 4 | C | PRAZAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 0 | 150 | MG | CAPSULE | BID | |||||||
| 125295133 | 12529513 | 5 | C | MAINTATE | BISOPROLOL FUMARATE | 1 | Oral | 0 | .625 | MG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125295133 | 12529513 | 1 | Gastroenteritis |
| 125295133 | 12529513 | 2 | Bronchitis |
| 125295133 | 12529513 | 3 | Nasopharyngitis |
| 125295133 | 12529513 | 4 | Atrial fibrillation |
| 125295133 | 12529513 | 5 | Atrial fibrillation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125295133 | 12529513 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125295133 | 12529513 | Long QT syndrome | |
| 125295133 | 12529513 | Ventricular fibrillation |
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 |
|---|---|---|---|---|---|---|
| 125295133 | 12529513 | 1 | 20160607 | 0 | ||
| 125295133 | 12529513 | 2 | 20160603 | 201606 | 0 | |
| 125295133 | 12529513 | 3 | 20160603 | 201606 | 0 |