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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125439121 | 12543912 | 1 | I | 20160706 | 20160711 | 20160711 | EXP | CA-BAUSCH-BL-2016-016152 | BAUSCH AND LOMB | 83.00 | YR | F | Y | 0.00000 | 20160711 | OT | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125439121 | 12543912 | 1 | SS | BACLOFEN. | BACLOFEN | 1 | Oral | 0 | 20 | MG | TID | ||||||||
| 125439121 | 12543912 | 2 | PS | ACETAMINOPHEN AND CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Unknown | 86024 | 1 | DF | TABLET | ||||||||
| 125439121 | 12543912 | 3 | SS | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | 18514 | |||||||||||
| 125439121 | 12543912 | 4 | SS | RAMIPRIL. | RAMIPRIL | 1 | Oral | 0 | 2.5 | MG | QD | ||||||||
| 125439121 | 12543912 | 5 | SS | SIMVASTATIN. | SIMVASTATIN | 1 | Oral | 0 | 20 | MG | TABLET | ||||||||
| 125439121 | 12543912 | 6 | SS | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 0 | 4 | DF | QD | ||||||||
| 125439121 | 12543912 | 7 | SS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 0 | 2 | DF | QD | ||||||||
| 125439121 | 12543912 | 8 | SS | ASA | ASPIRIN | 1 | Unknown | 0 | 81 | MG | QD | ||||||||
| 125439121 | 12543912 | 9 | SS | ALENDRONATE SODIUM. | ALENDRONATE SODIUM | 1 | Oral | 0 | 70 | MG | TABLET | /wk | |||||||
| 125439121 | 12543912 | 10 | SS | CALCIUM CARBONATE. | CALCIUM CARBONATE | 1 | Oral | 0 | 1250 | MG | TABLET | QD | |||||||
| 125439121 | 12543912 | 11 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | 0 | 30 | MG | QD | ||||||||
| 125439121 | 12543912 | 12 | SS | DARIFENACIN. | DARIFENACIN | 1 | Oral | 0 | 7.5 | MG | TABLET | ||||||||
| 125439121 | 12543912 | 13 | SS | ERGOCALCIFEROL. | ERGOCALCIFEROL | 1 | Unknown | 0 | 1000 | IU | QD | ||||||||
| 125439121 | 12543912 | 14 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 0 | 40 | MG | TABLET | QD | |||||||
| 125439121 | 12543912 | 15 | SS | LEVOTHYROXINE SODIUM. | LEVOTHYROXINE SODIUM | 1 | Oral | 0 | .88 | MG | QD | ||||||||
| 125439121 | 12543912 | 16 | SS | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Oral | 0 | 50 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125439121 | 12543912 | 1 | Product used for unknown indication |
| 125439121 | 12543912 | 2 | Product used for unknown indication |
| 125439121 | 12543912 | 3 | Product used for unknown indication |
| 125439121 | 12543912 | 4 | Product used for unknown indication |
| 125439121 | 12543912 | 5 | Product used for unknown indication |
| 125439121 | 12543912 | 6 | Product used for unknown indication |
| 125439121 | 12543912 | 7 | Product used for unknown indication |
| 125439121 | 12543912 | 8 | Product used for unknown indication |
| 125439121 | 12543912 | 9 | Product used for unknown indication |
| 125439121 | 12543912 | 10 | Product used for unknown indication |
| 125439121 | 12543912 | 11 | Product used for unknown indication |
| 125439121 | 12543912 | 12 | Product used for unknown indication |
| 125439121 | 12543912 | 13 | Product used for unknown indication |
| 125439121 | 12543912 | 14 | Product used for unknown indication |
| 125439121 | 12543912 | 15 | Product used for unknown indication |
| 125439121 | 12543912 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125439121 | 12543912 | DE |
| 125439121 | 12543912 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125439121 | 12543912 | Arteriosclerosis coronary artery | |
| 125439121 | 12543912 | Asphyxia | |
| 125439121 | 12543912 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |