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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125400081 | 12540008 | 1 | I | 20160618 | 20160706 | 20160708 | 20160708 | EXP | US-GLAXOSMITHKLINE-US2016GSK097103 | GLAXOSMITHKLINE | 70.62 | YR | F | Y | 79.40000 | KG | 20160708 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125400081 | 12540008 | 1 | PS | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | Oral | U | 18644 | ||||||||||
| 125400081 | 12540008 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | Y | 0000079857 | 0 | 10 | MG | BID | |||||
| 125400081 | 12540008 | 3 | C | REBIF | INTERFERON BETA-1A | 1 | UNK | 0 | |||||||||||
| 125400081 | 12540008 | 4 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | UNK | 0 | |||||||||||
| 125400081 | 12540008 | 5 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | UNK | 0 | |||||||||||
| 125400081 | 12540008 | 6 | C | PRAVASTATIN. | PRAVASTATIN | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125400081 | 12540008 | 1 | Product used for unknown indication |
| 125400081 | 12540008 | 2 | Asthenia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125400081 | 12540008 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125400081 | 12540008 | Dizziness | |
| 125400081 | 12540008 | Gait disturbance | |
| 125400081 | 12540008 | Glaucoma |
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 |
|---|---|---|---|---|---|---|
| 125400081 | 12540008 | 2 | 20160618 | 20160618 | 0 | |
| 125400081 | 12540008 | 3 | 2002 | 0 |