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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125799661 | 12579966 | 1 | I | 201408 | 20160711 | 20160721 | 20160721 | EXP | DK-MEDAC PHARMA, INC.-1055367 | MEDAC | 70.00 | YR | F | Y | 0.00000 | 20160721 | LW | COUNTRY NOT SPECIFIED | DK |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125799661 | 12579966 | 1 | PS | Metex | METFORMIN HYDROCHLORIDE | 1 | U | 205776 | SOLUTION FOR INJECTION | ||||||||||
| 125799661 | 12579966 | 2 | SS | CIPROFLOXACIN. | CIPROFLOXACIN | 1 | Oral | U | 0 | FILM-COATED TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125799661 | 12579966 | 1 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125799661 | 12579966 | DS |
| 125799661 | 12579966 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125799661 | 12579966 | Activities of daily living impaired | |
| 125799661 | 12579966 | Bone marrow failure | |
| 125799661 | 12579966 | Candida infection | |
| 125799661 | 12579966 | Gastrointestinal tube insertion | |
| 125799661 | 12579966 | Hypogeusia | |
| 125799661 | 12579966 | Mouth ulceration | |
| 125799661 | 12579966 | Oropharyngeal pain | |
| 125799661 | 12579966 | Pancytopenia | |
| 125799661 | 12579966 | Pyrexia | |
| 125799661 | 12579966 | Rash erythematous | |
| 125799661 | 12579966 | Renal impairment | |
| 125799661 | 12579966 | Scar | |
| 125799661 | 12579966 | Swelling | |
| 125799661 | 12579966 | Tendon pain | |
| 125799661 | 12579966 | Toxic epidermal necrolysis | |
| 125799661 | 12579966 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 125799661 | 12579966 | 1 | 200710 | 0 | ||
| 125799661 | 12579966 | 2 | 20140806 | 0 |