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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125587911 | 12558791 | 1 | I | 20160711 | 20160715 | 20160715 | PER | US-JNJFOC-20160709981 | JANSSEN | 63.00 | YR | A | F | Y | 68.04000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125587911 | 12558791 | 1 | PS | IMODIUM MULTI-SYMPTOM RELIEF | DIMETHICONELOPERAMIDE HYDROCHLORIDE | 1 | Oral | Y | N | JCF011 | 21140 | CAPLET | |||||||
| 125587911 | 12558791 | 2 | SS | IMODIUM MULTI-SYMPTOM RELIEF | DIMETHICONELOPERAMIDE HYDROCHLORIDE | 1 | Oral | 2 CAPLETS IN TOTAL, AT TWO DIFFERENT TIMES, INITIATED 2 WEEKS AGO | Y | N | JCF011 | 21140 | 1 | DF | CAPLET | ||||
| 125587911 | 12558791 | 3 | C | TECFIDERA | DIMETHYL FUMARATE | 1 | Unknown | FOR 1 YEAR | 0 | 240 | MG | UNSPECIFIED | BID | ||||||
| 125587911 | 12558791 | 4 | C | JANUMET | METFORMIN HYDROCHLORIDESITAGLIPTIN PHOSPHATE | 1 | Unknown | FEW YEARS | 0 | 1 | DF | UNSPECIFIED | BID | ||||||
| 125587911 | 12558791 | 5 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | FOR YEARS | 0 | 81 | MG | UNSPECIFIED | |||||||
| 125587911 | 12558791 | 6 | C | QUINAPRIL. | QUINAPRIL | 1 | Unknown | FOR YEARS | 0 | 20 | MG | UNSPECIFIED | |||||||
| 125587911 | 12558791 | 7 | C | ANASTROZOL | ANASTROZOLE | 1 | Unknown | FOR 5 YEARS | 0 | 1 | MG | UNSPECIFIED | |||||||
| 125587911 | 12558791 | 8 | C | JARDIANCE | EMPAGLIFLOZIN | 1 | Unknown | FOR 1 YEAR | 0 | 10 | MG | UNSPECIFIED | |||||||
| 125587911 | 12558791 | 9 | C | MYRBETRIQ | MIRABEGRON | 1 | Unknown | FOR 3 YEARS | 0 | 50 | MG | UNSPECIFIED | |||||||
| 125587911 | 12558791 | 10 | C | LINZESS | LINACLOTIDE | 1 | Unknown | FOR 8 MONTHS | 0 | UNSPECIFIED | |||||||||
| 125587911 | 12558791 | 11 | C | LEVEMIR | INSULIN DETEMIR | 1 | Unknown | DOSE :8 UNITS FOR 6 MONTHS | 0 | UNSPECIFIED | |||||||||
| 125587911 | 12558791 | 12 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | FOR YEARS | 0 | 40 | MG | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125587911 | 12558791 | 2 | Diarrhoea |
| 125587911 | 12558791 | 3 | Multiple sclerosis |
| 125587911 | 12558791 | 4 | Diabetes mellitus |
| 125587911 | 12558791 | 5 | Cardiac disorder |
| 125587911 | 12558791 | 6 | Blood pressure abnormal |
| 125587911 | 12558791 | 7 | Breast cancer |
| 125587911 | 12558791 | 8 | Diabetes mellitus |
| 125587911 | 12558791 | 9 | Bladder disorder |
| 125587911 | 12558791 | 10 | Gastric disorder |
| 125587911 | 12558791 | 11 | Diabetes mellitus |
| 125587911 | 12558791 | 12 | Blood cholesterol |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125587911 | 12558791 | Foreign body | |
| 125587911 | 12558791 | Inappropriate schedule of drug administration | |
| 125587911 | 12558791 | Product coating issue |
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 |
|---|---|---|---|---|---|---|
| 125587911 | 12558791 | 2 | 20160709 | 0 |