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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125513951 | 12551395 | 1 | I | 20160707 | 20160713 | 20160713 | EXP | US-ROCHE-1791177 | ROCHE | 0.00 | F | Y | 0.00000 | 20160713 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125513951 | 12551395 | 1 | PS | DIAZEPAM. | DIAZEPAM | 1 | Unknown | AS NEEDED BUT NOT EVERY DAY | U | 13263 | 10 | MG | Q4H | ||||||
| 125513951 | 12551395 | 2 | SS | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | 1 PILL BY MOUTH PER DAY IN THE MORNING | U | UNKNOWN | 0 | QD | |||||||
| 125513951 | 12551395 | 3 | SS | PANTOPRAZOLE SODIUM. | PANTOPRAZOLE SODIUM | 1 | Unknown | 1 PILL BY MOUTH PER DAY IN THE MORNING | UNKNOWN | 0 | QD | ||||||||
| 125513951 | 12551395 | 4 | C | CLONIDINE. | CLONIDINE | 1 | Unknown | 0.2MG ONE AND A HALF TABLETS BY MOUTH THREE TIMES A DAY, SHE NEEDS 4, SHE TAKES 4. SHE CANNOT GET BY | 0 | TABLET | |||||||||
| 125513951 | 12551395 | 5 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | Unknown | HAS BEEN TAKING FOR TWO YEARS, 75MG ONE A DAY BY MOUTH. | 0 | 75 | MG | ||||||||
| 125513951 | 12551395 | 6 | C | ALLOPURINOL. | ALLOPURINOL | 1 | Unknown | 100MG ONE EVERY MORNING BY MOUTH AND HAD BEEN TAKING SINCE LAST YEAR | 0 | ||||||||||
| 125513951 | 12551395 | 7 | C | ATENOLOL. | ATENOLOL | 1 | Unknown | 50MG TAKE A FORTH A TABLET BY MOUTH WHEN NEEDED, HEART WAS SET AT 60 FOR 40 YEARS. HAD BEEN TAKING S | 0 | 50 | MG | TABLET | |||||||
| 125513951 | 12551395 | 8 | C | GEMFIBROZIL. | GEMFIBROZIL | 1 | Unknown | 600MG ONE MORNING IN THE MORNING AND ONE AT NIGHT, 30 MINUTES BEFORE SHE EATS, HAD BEEN TAKING SINCE | 0 | 600 | MG | ||||||||
| 125513951 | 12551395 | 9 | C | SODIUM BICARBONATE. | SODIUM BICARBONATE | 1 | Oral | 650MG TWO TABLETS BY MOUTH THREE TIMES A DAY, HAD BEEN TAKING 5-6 YEARS. | 0 | TABLET | |||||||||
| 125513951 | 12551395 | 10 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | ONCE A DAY BY MOUTH IN THE MORNING, HAD BEEN TAKING FOR OVER 10 YEARS. HER DOCTOR INCREASED HER DOSE | 0 | 100 | MG | QD | |||||||
| 125513951 | 12551395 | 11 | C | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | 7.5/325MG TAKE EVERY 4 HOURS AS NEEDED. DR SAID TO CUT ALL PILLS IN TWO | 0 | ||||||||||
| 125513951 | 12551395 | 12 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 125513951 | 12551395 | 13 | C | ACIDOPHILUS | LACTOBACILLUS ACIDOPHILUS | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125513951 | 12551395 | 1 | Hypertension |
| 125513951 | 12551395 | 2 | Gastric disorder |
| 125513951 | 12551395 | 3 | Gastric disorder |
| 125513951 | 12551395 | 4 | Blood pressure measurement |
| 125513951 | 12551395 | 8 | Blood cholesterol |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125513951 | 12551395 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125513951 | 12551395 | Asthenia | |
| 125513951 | 12551395 | Blindness | |
| 125513951 | 12551395 | Cerebrovascular accident | |
| 125513951 | 12551395 | Concussion | |
| 125513951 | 12551395 | Drug dose omission | |
| 125513951 | 12551395 | Fall | |
| 125513951 | 12551395 | Myocardial infarction | |
| 125513951 | 12551395 | Neck surgery | |
| 125513951 | 12551395 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 125513951 | 12551395 | 1 | 2015 | 0 |