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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125560261 | 12556026 | 1 | I | 20160711 | 0 | 20160713 | 20160713 | DIR | 47.00 | YR | F | N | 129.00000 | LBS | 20160712 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125560261 | 12556026 | 1 | PS | CHILDRENS ALLERGY RELIEF (DIPHENHYDRAMINE HYDROCHLORIDE) | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 1 RAPID MELTS EVERY 6 HOURS TAKEN BY MOUTH | Y | Y | 20170830 | 0 | Q6H | ||||||
125560261 | 12556026 | 2 | SS | DEPAKOTE ER | DIVALPROEX SODIUM | 1 | Oral | 1 TABLET(S) AT BEDTIME TAKEN BY MOUTH | Y | Y | 20170630 | 0 | 1 | DF | COATED TABLET | HS | |||
125560261 | 12556026 | 4 | C | LEVOXYL | LEVOTHYROXINE SODIUM | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125560261 | 12556026 | 1 | Multiple allergies |
125560261 | 12556026 | 2 | Migraine |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125560261 | 12556026 | DS |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125560261 | 12556026 | Agitation | |
125560261 | 12556026 | Anxiety |
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 |
---|---|---|---|---|---|---|
125560261 | 12556026 | 2 | 20160630 | 20160711 | 0 |