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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125666311 | 12566631 | 1 | I | 20060506 | 20160706 | 20160718 | 20160718 | PER | US-BAYER-2016-134763 | BAYER | 27.00 | YR | A | F | Y | 0.00000 | 20160718 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125666311 | 12566631 | 1 | PS | YASMIN | DROSPIRENONEETHINYL ESTRADIOL | 1 | 21098 | FILM-COATED TABLET | |||||||||||
| 125666311 | 12566631 | 2 | C | PRENATAL VITAMINS | VITAMINS | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 3 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 4 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 5 | C | VOLTAREN | DICLOFENAC SODIUM | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 6 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 7 | C | LORTAB | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 8 | C | DEMEROL | MEPERIDINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 9 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125666311 | 12566631 | 10 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125666311 | 12566631 | 4 | Pain |
| 125666311 | 12566631 | 6 | Pain |
| 125666311 | 12566631 | 7 | Pain |
| 125666311 | 12566631 | 8 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125666311 | 12566631 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125666311 | 12566631 | Deep vein thrombosis |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |