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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125707771 | 12570777 | 1 | I | 20151105 | 20151116 | 20160719 | 20160719 | PER | US-WATSON-2015-25167 | WATSON | 63.09 | YR | F | Y | 59.00000 | KG | 20160719 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125707771 | 12570777 | 1 | PS | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 1 TABLET, DAILY | N | UNKNOWN | 40099 | TABLET | QD | ||||||
| 125707771 | 12570777 | 2 | SS | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | Oral | 500 MG, DAILY | UNKNOWN | 0 | 500 | MG | QD | ||||||
| 125707771 | 12570777 | 3 | C | DIPHENHYDRAMINE HYDROCHLORIDE. | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 25 MG, QHS | 0 | 25 | MG | QD | ||||||||
| 125707771 | 12570777 | 4 | C | MUCINEX D | GUAIFENESINPSEUDOEPHEDRINE HYDROCHLORIDE | 1 | Unknown | 1 UNK, QAM | UNKNOWN | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125707771 | 12570777 | 1 | Pain |
| 125707771 | 12570777 | 2 | Preoperative care |
| 125707771 | 12570777 | 3 | Seasonal allergy |
| 125707771 | 12570777 | 4 | Seasonal allergy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125707771 | 12570777 | Activities of daily living impaired | |
| 125707771 | 12570777 | Dizziness | |
| 125707771 | 12570777 | Headache | |
| 125707771 | 12570777 | Nausea | |
| 125707771 | 12570777 | Pain |
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 |
|---|---|---|---|---|---|---|
| 125707771 | 12570777 | 1 | 20151105 | 20151109 | 0 | |
| 125707771 | 12570777 | 2 | 20151105 | 0 |