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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125731661 | 12573166 | 1 | I | 20160311 | 0 | 20160719 | 20160719 | DIR | 71.00 | YR | F | N | 105.00000 | LBS | 20160704 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125731661 | 12573166 | 1 | PS | DEPAKOTE | DIVALPROEX SODIUM | 1 | D | 0 | |||||||||||
| 125731661 | 12573166 | 3 | C | XARELTO | RIVAROXABAN | 1 | 0 | ||||||||||||
| 125731661 | 12573166 | 5 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 125731661 | 12573166 | 7 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 125731661 | 12573166 | 9 | C | FLORINEF ACETATE | FLUDROCORTISONE ACETATE | 1 | 0 | ||||||||||||
| 125731661 | 12573166 | 11 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125731661 | 12573166 | 13 | C | RHINECORT SPRAY | 2 | 0 | |||||||||||||
| 125731661 | 12573166 | 15 | C | SALINE SPRAY | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125731661 | 12573166 | 1 | Bipolar disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125731661 | 12573166 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125731661 | 12573166 | Abdominal discomfort | |
| 125731661 | 12573166 | Alopecia | |
| 125731661 | 12573166 | Balance disorder | |
| 125731661 | 12573166 | Confusional state | |
| 125731661 | 12573166 | Fatigue | |
| 125731661 | 12573166 | Mouth ulceration | |
| 125731661 | 12573166 | Nasal ulcer | |
| 125731661 | 12573166 | Victim of elder abuse | |
| 125731661 | 12573166 | Wrong drug administered |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |