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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125708411 | 12570841 | 1 | I | 2014 | 20160504 | 20160719 | 20160719 | PER | US-WATSON-2016-09524 | WATSON | 52.49 | YR | M | Y | 98.90000 | KG | 20160719 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125708411 | 12570841 | 1 | PS | Hydrocodone-Acetaminophen (Watson Laboratories) | ACETAMINOPHENHYDROCODONE | 1 | Unknown | UNK, UNKNOWN | U | UNKNOWN | 40099 | ||||||||
| 125708411 | 12570841 | 2 | SS | HYDROCODONE | HYDROCODONE | 1 | Unknown | UNK UNK, UNKNOWN | UNKNOWN | 0 | |||||||||
| 125708411 | 12570841 | 3 | SS | JUXTAPID | LOMITAPIDE MESYLATE | 1 | Oral | 5 MG, DAILY | 80 | MG | UNKNOWN | 0 | 5 | MG | QD | ||||
| 125708411 | 12570841 | 4 | C | FOLIC ACID. | FOLIC ACID | 1 | Unknown | UNKNOWN | UNKNOWN | 0 | |||||||||
| 125708411 | 12570841 | 5 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | UNKNOWN | UNKNOWN | 0 | |||||||||
| 125708411 | 12570841 | 6 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | UNKNOWN | UNKNOWN | 0 | |||||||||
| 125708411 | 12570841 | 7 | C | ATENOLOL. | ATENOLOL | 1 | Unknown | UNKNOWN | UNKOWN | 0 | |||||||||
| 125708411 | 12570841 | 8 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | UNK UNK, UNKNOWN | UNKNOWN | 0 | |||||||||
| 125708411 | 12570841 | 9 | C | OMEGA 3 6 9 /01334101/ | 2 | Unknown | UNK UNK, UNKNOWN | UNKNOWN | 0 | ||||||||||
| 125708411 | 12570841 | 10 | C | VITAMIN E /00110501/ | TOCOPHEROL | 1 | Unknown | UNK UNK, UNKNOWN | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125708411 | 12570841 | 1 | Product used for unknown indication |
| 125708411 | 12570841 | 2 | Product used for unknown indication |
| 125708411 | 12570841 | 3 | Type IIa hyperlipidaemia |
| 125708411 | 12570841 | 4 | Product used for unknown indication |
| 125708411 | 12570841 | 5 | Product used for unknown indication |
| 125708411 | 12570841 | 6 | Product used for unknown indication |
| 125708411 | 12570841 | 7 | Product used for unknown indication |
| 125708411 | 12570841 | 8 | Product used for unknown indication |
| 125708411 | 12570841 | 9 | Product used for unknown indication |
| 125708411 | 12570841 | 10 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125708411 | 12570841 | Abdominal discomfort | |
| 125708411 | 12570841 | Constipation | |
| 125708411 | 12570841 | Diarrhoea | |
| 125708411 | 12570841 | Feeding disorder | |
| 125708411 | 12570841 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 125708411 | 12570841 | 1 | 20140626 | 0 | ||
| 125708411 | 12570841 | 3 | 20140611 | 20141208 | 0 |