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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125569361 | 12556936 | 1 | I | 2016 | 20160708 | 20160714 | 20160714 | EXP | US-UCBSA-2016026006 | UCB | 71.96 | YR | M | Y | 0.00000 | 20160714 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125569361 | 12556936 | 1 | PS | KEPPRA | LEVETIRACETAM | 1 | UNK | U | U | 21035 | FILM-COATED TABLET | ||||||||
| 125569361 | 12556936 | 2 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 1 | UNK | 0 | |||||||||||
| 125569361 | 12556936 | 3 | C | ALBUTEROL. | ALBUTEROL | 1 | UNK | U | 00139501 | 0 | |||||||||
| 125569361 | 12556936 | 4 | C | GABAPENTIN. | GABAPENTIN | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 5 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 6 | C | REMERON | MIRTAZAPINE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 7 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 8 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 9 | C | QUETIAPINE. | QUETIAPINE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 10 | C | LANTUS | INSULIN GLARGINE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 11 | C | TYLENOL | ACETAMINOPHEN | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 12 | C | Calcium | CALCIUM | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 13 | C | Multivitamin | VITAMINS | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 14 | C | Glucosamine | GLUCOSAMINE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 15 | C | ACYCLOVIR. | ACYCLOVIR | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 16 | C | HUMALOG | INSULIN LISPRO | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 17 | C | LAMICTAL | LAMOTRIGINE | 1 | UNK | U | 0 | ||||||||||
| 125569361 | 12556936 | 18 | C | LAMISIL | TERBINAFINE HYDROCHLORIDE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125569361 | 12556936 | 1 | Seizure |
| 125569361 | 12556936 | 2 | Cerebrovascular accident |
| 125569361 | 12556936 | 3 | Product used for unknown indication |
| 125569361 | 12556936 | 4 | Product used for unknown indication |
| 125569361 | 12556936 | 5 | Product used for unknown indication |
| 125569361 | 12556936 | 6 | Product used for unknown indication |
| 125569361 | 12556936 | 7 | Product used for unknown indication |
| 125569361 | 12556936 | 8 | Product used for unknown indication |
| 125569361 | 12556936 | 9 | Product used for unknown indication |
| 125569361 | 12556936 | 10 | Product used for unknown indication |
| 125569361 | 12556936 | 11 | Product used for unknown indication |
| 125569361 | 12556936 | 12 | Product used for unknown indication |
| 125569361 | 12556936 | 13 | Product used for unknown indication |
| 125569361 | 12556936 | 14 | Product used for unknown indication |
| 125569361 | 12556936 | 15 | Product used for unknown indication |
| 125569361 | 12556936 | 16 | Product used for unknown indication |
| 125569361 | 12556936 | 17 | Product used for unknown indication |
| 125569361 | 12556936 | 18 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125569361 | 12556936 | OT |
| 125569361 | 12556936 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125569361 | 12556936 | Adverse drug reaction | |
| 125569361 | 12556936 | Anxiety | |
| 125569361 | 12556936 | Fall | |
| 125569361 | 12556936 | Haemorrhage | |
| 125569361 | 12556936 | Headache | |
| 125569361 | 12556936 | Seizure | |
| 125569361 | 12556936 | Skin atrophy |
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 |
|---|---|---|---|---|---|---|
| 125569361 | 12556936 | 1 | 201602 | 0 | ||
| 125569361 | 12556936 | 2 | 1989 | 0 |