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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449071 | 12544907 | 1 | I | 2007 | 20160630 | 20160711 | 20160711 | EXP | US-GLAXOSMITHKLINE-US2016GSK097997 | GLAXOSMITHKLINE | 63.00 | YR | F | Y | 0.00000 | 20160711 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449071 | 12544907 | 1 | PS | VOLTAREN | DICLOFENAC SODIUM | 1 | Topical | UNK (APPLY 4 TIMES DAILY) | UNK | 22122 | GEL |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125449071 | 12544907 | 1 | Pain in extremity |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125449071 | 12544907 | HO |
| 125449071 | 12544907 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125449071 | 12544907 | Activities of daily living impaired | |
| 125449071 | 12544907 | Arthritis | |
| 125449071 | 12544907 | Asthenia | |
| 125449071 | 12544907 | Blister | |
| 125449071 | 12544907 | Blood pressure increased | |
| 125449071 | 12544907 | Condition aggravated | |
| 125449071 | 12544907 | Drug ineffective | |
| 125449071 | 12544907 | Herpes zoster | |
| 125449071 | 12544907 | Impaired driving ability | |
| 125449071 | 12544907 | Inappropriate schedule of drug administration | |
| 125449071 | 12544907 | Incorrect dosage administered | |
| 125449071 | 12544907 | Monarthritis | |
| 125449071 | 12544907 | Off label use | |
| 125449071 | 12544907 | Scar |
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 |
|---|---|---|---|---|---|---|
| 125449071 | 12544907 | 1 | 20060810 | 0 |