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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125422532 | 12542253 | 2 | F | 20160626 | 20160822 | 20160708 | 20160902 | PER | US-009507513-1606USA014660 | MERCK | 56.00 | YR | M | Y | 0.00000 | 20160902 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125422532 | 12542253 | 1 | PS | PROVENTIL | ALBUTEROL | 1 | Oral | 2 PUFFS EVERY 4 TO 6 HOURS DAILY | 20503 | 2 | DF | INHALATION POWDER | QD | ||||||
| 125422532 | 12542253 | 2 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | U | 0 | INFUSION | ||||||||||
| 125422532 | 12542253 | 3 | C | CARVEDILOL. | CARVEDILOL | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 4 | C | AMLODIPINE BESYLATE. | AMLODIPINE BESYLATE | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 5 | C | PRINIVIL | LISINOPRIL | 1 | 0 | TABLET | |||||||||||
| 125422532 | 12542253 | 6 | C | ZOCOR | SIMVASTATIN | 1 | 0 | TABLET | |||||||||||
| 125422532 | 12542253 | 7 | C | BACLOFEN. | BACLOFEN | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 8 | C | RANITIDINE. | RANITIDINE | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 9 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 10 | C | ETODOLAC. | ETODOLAC | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 11 | C | NITROGLYCERIN. | NITROGLYCERIN | 1 | U | 0 | |||||||||||
| 125422532 | 12542253 | 12 | C | HUMALOG | INSULIN LISPRO | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125422532 | 12542253 | 1 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125422532 | 12542253 | Asthma | |
| 125422532 | 12542253 | Dyspnoea | |
| 125422532 | 12542253 | Product use issue |
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 |
|---|---|---|---|---|---|---|
| 125422532 | 12542253 | 1 | 201512 | 0 |