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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125437061 | 12543706 | 1 | I | 0 | 20160708 | 20160708 | DIR | 43.00 | YR | F | N | 120.00000 | LBS | 20160707 | N | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125437061 | 12543706 | 1 | PS | PRISTIQ EXTENDED-RELEASE | DESVENLAFAXINE SUCCINATE | 1 | Oral | 30 TABLET (S) IN THE MORNING TAKEN BY MOUTH | N | 0 | 30 | DF | COATED TABLET | ||||||
125437061 | 12543706 | 3 | C | FISH OIL | FISH OIL | 1 | 0 | ||||||||||||
125437061 | 12543706 | 5 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
125437061 | 12543706 | 7 | C | IRON SUPPLEMENTS | IRON | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125437061 | 12543706 | 1 | Adjustment disorder with depressed mood |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125437061 | 12543706 | LT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125437061 | 12543706 | Dizziness | |
125437061 | 12543706 | Drug withdrawal syndrome | |
125437061 | 12543706 | Fall | |
125437061 | 12543706 | Gastrointestinal disorder | |
125437061 | 12543706 | Impaired driving ability | |
125437061 | 12543706 | Impaired work ability | |
125437061 | 12543706 | Nausea | |
125437061 | 12543706 | Paraesthesia | |
125437061 | 12543706 | Suicidal ideation | |
125437061 | 12543706 | Weight decreased |
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 |
---|---|---|---|---|---|---|
125437061 | 12543706 | 1 | 20130501 | 20160630 | 0 |