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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125676811 | 12567681 | 1 | I | 20160712 | 20160718 | 20160718 | EXP | US-BAUSCH-BL-2016-016842 | BAUSCH AND LOMB | 0.00 | M | Y | 0.00000 | 20160718 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125676811 | 12567681 | 1 | PS | CARDIZEM CD | DILTIAZEM HYDROCHLORIDE | 1 | Oral | 20062 | 360 | MG | CAPSULES | BID | |||||||
| 125676811 | 12567681 | 2 | SS | CARDIZEM LA | DILTIAZEM HYDROCHLORIDE | 1 | Oral | U | 21392 | TABLET | |||||||||
| 125676811 | 12567681 | 3 | SS | DILTIAZEM. | DILTIAZEM | 1 | Oral | U | 20062 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125676811 | 12567681 | 1 | Product used for unknown indication |
| 125676811 | 12567681 | 2 | Product used for unknown indication |
| 125676811 | 12567681 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125676811 | 12567681 | OT |
| 125676811 | 12567681 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125676811 | 12567681 | Atrioventricular block | |
| 125676811 | 12567681 | Drug dose omission | |
| 125676811 | 12567681 | Loss of consciousness |
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 |
|---|---|---|---|---|---|---|
| 125676811 | 12567681 | 1 | 2014 | 0 |