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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125403191 | 12540319 | 1 | I | 2014 | 20150827 | 20160708 | 20160708 | EXP | US-DSJP-DSU-2015-127157 | DAIICHI | 71.33 | YR | F | Y | 117.91000 | KG | 20160708 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125403191 | 12540319 | 1 | PS | BENICAR HCT | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | Oral | 40/25 MG, QD | Y | 21532 | 1 | DF | FILM-COATED TABLET | QD | |||||
| 125403191 | 12540319 | 2 | C | XANAX | ALPRAZOLAM | 1 | 5 MG, TID | 0 | 5 | MG | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125403191 | 12540319 | 1 | Hypertension |
| 125403191 | 12540319 | 2 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125403191 | 12540319 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125403191 | 12540319 | Constipation | |
| 125403191 | 12540319 | Depression | |
| 125403191 | 12540319 | Diverticulitis | |
| 125403191 | 12540319 | Duodenitis | |
| 125403191 | 12540319 | Haemorrhoids | |
| 125403191 | 12540319 | Malabsorption | |
| 125403191 | 12540319 | Polyp |
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 |
|---|---|---|---|---|---|---|
| 125403191 | 12540319 | 1 | 201111 | 201405 | 0 | |
| 125403191 | 12540319 | 2 | 2014 | 0 |