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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125867981 | 12586798 | 1 | I | 20160107 | 0 | 20160722 | 20160722 | DIR | 52.00 | YR | F | N | 95.00000 | LBS | 20160721 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125867981 | 12586798 | 1 | PS | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Intramuscular | N | D | 0 | 25 | MG | 1X | ||||||
| 125867981 | 12586798 | 2 | C | TRAZODONE HYDROCHLORIDE. | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125867981 | 12586798 | 3 | C | CITALOPRAM HYDROBROMIDE (CELEXA) | 2 | 0 | |||||||||||||
| 125867981 | 12586798 | 4 | C | CHLORZOXAZONE (PARAFON FORTE DSC) | 2 | 0 | |||||||||||||
| 125867981 | 12586798 | 5 | C | ACETAMINOPHENHYDROCODONE BITARTRATE | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 125867981 | 12586798 | 6 | C | PROMETHAZINE HCL | PROMETHAZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125867981 | 12586798 | 7 | C | PANTOPRAZOLE SODIUM. | PANTOPRAZOLE SODIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125867981 | 12586798 | 1 | Nausea |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125867981 | 12586798 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125867981 | 12586798 | Asthenia | |
| 125867981 | 12586798 | Contusion | |
| 125867981 | 12586798 | Hypoaesthesia | |
| 125867981 | 12586798 | Injection site abscess | |
| 125867981 | 12586798 | Injection site hypoaesthesia | |
| 125867981 | 12586798 | Musculoskeletal pain | |
| 125867981 | 12586798 | Neuropathy peripheral | |
| 125867981 | 12586798 | Osteomyelitis | |
| 125867981 | 12586798 | Pain in extremity | |
| 125867981 | 12586798 | Wrong technique in product usage process |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 125867981 | 12586798 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 125867981 | 12586798 | 1 | 20160107 | 20160107 | 0 |