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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125587411 | 12558741 | 1 | I | 20160611 | 20160614 | 20160715 | 20160715 | PER | US-JNJFOC-20160614072 | JANSSEN | 69.00 | YR | E | F | Y | 88.00000 | KG | 20160715 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125587411 | 12558741 | 1 | PS | IMODIUM A-D | LOPERAMIDE HYDROCHLORIDE | 1 | Oral | U | U | UNKNOWN | 19860 | CAPLET | |||||||
| 125587411 | 12558741 | 2 | SS | IMODIUM A-D | LOPERAMIDE HYDROCHLORIDE | 1 | Oral | U | U | UNKNOWN | 19860 | 2 | DF | CAPLET | |||||
| 125587411 | 12558741 | 3 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 125587411 | 12558741 | 4 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 125587411 | 12558741 | 5 | C | NORTRIPTYLINE | NORTRIPTYLINE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 125587411 | 12558741 | 6 | C | KLONOPIN | CLONAZEPAM | 1 | Unknown | 0 | 2 | MG | UNSPECIFIED | ||||||||
| 125587411 | 12558741 | 7 | C | DOXEPIN | DOXEPIN | 1 | Unknown | 0 | 75 | MG | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125587411 | 12558741 | 2 | Diarrhoea |
| 125587411 | 12558741 | 3 | Hot flush |
| 125587411 | 12558741 | 4 | Depression |
| 125587411 | 12558741 | 5 | Pain in extremity |
| 125587411 | 12558741 | 6 | Depression |
| 125587411 | 12558741 | 7 | Depression |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125587411 | 12558741 | Back pain | |
| 125587411 | 12558741 | Drug ineffective | |
| 125587411 | 12558741 | Expired product administered |
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 |
|---|---|---|---|---|---|---|
| 125587411 | 12558741 | 2 | 20160611 | 0 |