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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125394641 | 12539464 | 1 | I | 20160319 | 0 | 20160707 | 20160707 | DIR | 34.00 | YR | M | N | 98.00000 | KG | 20160706 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125394641 | 12539464 | 1 | PS | COLACE | DOCUSATE SODIUM | 1 | Oral | D | D | A908 | 20180331 | 0 | 100 | MG | BID | ||||
| 125394641 | 12539464 | 3 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 5 | C | DUONEB | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 7 | C | PRECEDEX | DEXMEDETOMIDINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 9 | C | FENTANYL. | FENTANYL | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 11 | C | FENTANYL TRANSDERMAL SYSTEM | FENTANYL | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 13 | C | HEPARIN | HEPARIN SODIUM | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 15 | C | MOTRIN | IBUPROFEN | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 17 | C | REGULAR INSULIN | INSULIN NOS | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 19 | C | LEVEMIR | INSULIN DETEMIR | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 21 | C | MIDAZOLAM | MIDAZOLAMMIDAZOLAM HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 23 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 25 | C | TAMIFLU | OSELTAMIVIR PHOSPHATE | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 27 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
| 125394641 | 12539464 | 29 | C | PREDNISONE LIQUID | 2 | 0 | |||||||||||||
| 125394641 | 12539464 | 31 | C | SENNA | SENNA LEAFSENNOSIDESSENNOSIDES A AND B | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125394641 | 12539464 | 1 | Constipation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125394641 | 12539464 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125394641 | 12539464 | Burkholderia test positive |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 125394641 | 12539464 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 125394641 | 12539464 | 1 | 20160319 | 20160529 | 0 |