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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125837011 | 12583701 | 1 | I | 20160325 | 20160722 | 20160722 | EXP | US-NORTHSTAR HEALTHCARE HOLDINGS-US-2016NSR001387 | NORTHSTAR | 0.00 | Y | 0.00000 | 20160722 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125837011 | 12583701 | 1 | PS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | Oral | 1-2 TABLETS PER DAY AS NEEDED | 78935 | TABLET | |||||||||
| 125837011 | 12583701 | 2 | C | MICARDIS | TELMISARTAN | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 3 | C | SIMVASTATIN. | SIMVASTATIN | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 4 | C | NORTRIPTYLINE | NORTRIPTYLINE | 1 | 25 MG, PRN | 0 | 25 | MG | |||||||||
| 125837011 | 12583701 | 5 | C | CYCLOBENZAPRINE | CYCLOBENZAPRINE | 1 | UNK UNK, PRN | 0 | |||||||||||
| 125837011 | 12583701 | 6 | C | MOBIC | MELOXICAM | 1 | 7.5 MG, PRN | 0 | 7.5 | MG | |||||||||
| 125837011 | 12583701 | 7 | C | FISH OIL | FISH OIL | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 8 | C | VITAMIN C | ASCORBIC ACID | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 9 | C | VITAMIN E /00110501/ | TOCOPHEROL | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 10 | C | ZINC | ZINCINC CHLORIDE | 1 | UNK | 0 | |||||||||||
| 125837011 | 12583701 | 11 | C | MAGNESIUM | MAGNESIUM | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125837011 | 12583701 | 1 | Arthritis |
| 125837011 | 12583701 | 2 | Product used for unknown indication |
| 125837011 | 12583701 | 3 | Product used for unknown indication |
| 125837011 | 12583701 | 4 | Product used for unknown indication |
| 125837011 | 12583701 | 5 | Product used for unknown indication |
| 125837011 | 12583701 | 6 | Product used for unknown indication |
| 125837011 | 12583701 | 7 | Product used for unknown indication |
| 125837011 | 12583701 | 8 | Product used for unknown indication |
| 125837011 | 12583701 | 9 | Product used for unknown indication |
| 125837011 | 12583701 | 10 | Product used for unknown indication |
| 125837011 | 12583701 | 11 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125837011 | 12583701 | Abdominal pain upper | |
| 125837011 | 12583701 | Coeliac disease | |
| 125837011 | 12583701 | Nausea | |
| 125837011 | 12583701 | Vomiting | |
| 125837011 | 12583701 | 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 |
|---|---|---|---|---|---|---|
| 125837011 | 12583701 | 1 | 2004 | 0 |