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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125870911 | 12587091 | 1 | I | 20160712 | 20160725 | 20160725 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-057935 | BRISTOL MYERS SQUIBB | 0.00 | Y | 0.00000 | 20160725 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125870911 | 12587091 | 1 | PS | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Unknown | U | 19898 | TABLET | |||||||||
| 125870911 | 12587091 | 2 | SS | LYRICA | PREGABALIN | 1 | Oral | 100 MG, BID | U | 0 | 100 | MG | CAPSULE | BID | |||||
| 125870911 | 12587091 | 3 | SS | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | Oral | 250 MG, UNK | U | 0 | 250 | MG | TABLET | ||||||
| 125870911 | 12587091 | 4 | SS | PROTONIX /00661201/ | OMEPRAZOLE | 1 | Oral | 40 MG, BID | U | 0 | 40 | MG | TABLET | BID | |||||
| 125870911 | 12587091 | 5 | SS | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | U | 0 | ||||||||||
| 125870911 | 12587091 | 6 | SS | ALDACTONE | SPIRONOLACTONE | 1 | Oral | 25 MG, QD | U | 0 | 25 | MG | TABLET | QD | |||||
| 125870911 | 12587091 | 7 | SS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Other | 18 ?G, QD | U | 0 | 18 | UG | CAPSULE | QD | |||||
| 125870911 | 12587091 | 8 | SS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 75 MG, QD | U | 0 | 75 | MG | QD | ||||||
| 125870911 | 12587091 | 9 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 125870911 | 12587091 | 10 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 125870911 | 12587091 | 11 | C | LOVASTATIN. | LOVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 125870911 | 12587091 | 12 | C | VENTOLINE /00139502/ | 2 | Other | 2.5 MG, PRN | U | 0 | 2.5 | MG | ||||||||
| 125870911 | 12587091 | 13 | C | BIOTENE /03475601/ | 2 | Oral | U | 0 | |||||||||||
| 125870911 | 12587091 | 14 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Oral | 81 MG, QD | U | 0 | 81 | MG | QD | ||||||
| 125870911 | 12587091 | 15 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Other | UNK, BID | U | 0 | BID | ||||||||
| 125870911 | 12587091 | 16 | C | CALCIUM | CALCIUM | 1 | Oral | 500 MG, PRN | U | 0 | 500 | MG | |||||||
| 125870911 | 12587091 | 17 | C | KEFLEX | CEPHALEXIN | 1 | Oral | 500 MG, Q6H | U | 0 | 500 | MG | CAPSULE | QID | |||||
| 125870911 | 12587091 | 18 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 5000 UNIT, QD | U | 0 | 5000 | DF | QD | ||||||
| 125870911 | 12587091 | 19 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Oral | 60 MG, QD | U | 0 | 60 | MG | CAPSULE | QD | |||||
| 125870911 | 12587091 | 20 | C | DILT-XR | DILTIAZEM | 1 | Oral | 120 MG, QD | U | 0 | 120 | MG | CAPSULE | QD | |||||
| 125870911 | 12587091 | 21 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | UNK UNK, Q8H | U | 0 | TABLET | TID | |||||||
| 125870911 | 12587091 | 22 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Oral | 100 ?G, QD | U | 0 | 100 | UG | TABLET | QD | |||||
| 125870911 | 12587091 | 23 | C | ROBAXIN | METHOCARBAMOL | 1 | Oral | 500 MG, QD | U | 0 | 500 | MG | QD | ||||||
| 125870911 | 12587091 | 24 | C | ZAROXOLYN | METOLAZONE | 1 | Unknown | 0.5 DF, UNK | U | 0 | .5 | DF | TABLET | ||||||
| 125870911 | 12587091 | 25 | C | LOPRESSOR | METOPROLOL TARTRATE | 1 | Oral | 25 MG, QD | U | 0 | 25 | MG | QD | ||||||
| 125870911 | 12587091 | 26 | C | REMERON | MIRTAZAPINE | 1 | Oral | 15 MG, QD | U | 0 | 15 | MG | QD | ||||||
| 125870911 | 12587091 | 27 | C | DITROPAN | OXYBUTYNIN CHLORIDE | 1 | Oral | 15 MG, QD | U | 0 | 15 | MG | QD | ||||||
| 125870911 | 12587091 | 28 | C | OXYGEN. | OXYGEN | 1 | Other | U | 0 | ||||||||||
| 125870911 | 12587091 | 29 | C | HELIUM. | HELIUM | 1 | Other | U | 0 | ||||||||||
| 125870911 | 12587091 | 30 | C | K-DUR | POTASSIUM CHLORIDE | 1 | Unknown | 1 DF, QD | U | 0 | 1 | DF | TABLET | QD | |||||
| 125870911 | 12587091 | 31 | C | DELTASONE /00016001/ | 2 | Unknown | 20 MG, UNK | U | 0 | 20 | MG | TABLET | |||||||
| 125870911 | 12587091 | 32 | C | RYTHMOL | PROPAFENONE HYDROCHLORIDE | 1 | Oral | 325 MG, BID | U | 0 | 325 | MG | CAPSULE | BID | |||||
| 125870911 | 12587091 | 33 | C | REQUIP | ROPINIROLE HYDROCHLORIDE | 1 | Oral | 1 MG, TID | U | 0 | 1 | MG | TABLET | TID | |||||
| 125870911 | 12587091 | 34 | C | SALINE /00075401/ | SODIUM CHLORIDE | 1 | Nasal | U | 0 | ||||||||||
| 125870911 | 12587091 | 35 | C | DEMADEX | TORSEMIDE | 1 | Oral | 80 MG, QD | U | 0 | 80 | MG | TABLET | QD | |||||
| 125870911 | 12587091 | 36 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | Unknown | 50 MG, PRN | U | 0 | 50 | MG | TABLET | ||||||
| 125870911 | 12587091 | 37 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 5 MG, QD | U | 0 | 5 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125870911 | 12587091 | 1 | Product used for unknown indication |
| 125870911 | 12587091 | 2 | Product used for unknown indication |
| 125870911 | 12587091 | 3 | Product used for unknown indication |
| 125870911 | 12587091 | 4 | Product used for unknown indication |
| 125870911 | 12587091 | 5 | Product used for unknown indication |
| 125870911 | 12587091 | 6 | Product used for unknown indication |
| 125870911 | 12587091 | 7 | Product used for unknown indication |
| 125870911 | 12587091 | 8 | Product used for unknown indication |
| 125870911 | 12587091 | 9 | Product used for unknown indication |
| 125870911 | 12587091 | 10 | Product used for unknown indication |
| 125870911 | 12587091 | 11 | Product used for unknown indication |
| 125870911 | 12587091 | 12 | Wheezing |
| 125870911 | 12587091 | 13 | Product used for unknown indication |
| 125870911 | 12587091 | 14 | Product used for unknown indication |
| 125870911 | 12587091 | 15 | Product used for unknown indication |
| 125870911 | 12587091 | 16 | Product used for unknown indication |
| 125870911 | 12587091 | 17 | Product used for unknown indication |
| 125870911 | 12587091 | 18 | Product used for unknown indication |
| 125870911 | 12587091 | 19 | Product used for unknown indication |
| 125870911 | 12587091 | 20 | Product used for unknown indication |
| 125870911 | 12587091 | 21 | Pain |
| 125870911 | 12587091 | 22 | Product used for unknown indication |
| 125870911 | 12587091 | 23 | Product used for unknown indication |
| 125870911 | 12587091 | 24 | Product used for unknown indication |
| 125870911 | 12587091 | 25 | Product used for unknown indication |
| 125870911 | 12587091 | 26 | Product used for unknown indication |
| 125870911 | 12587091 | 27 | Product used for unknown indication |
| 125870911 | 12587091 | 28 | Product used for unknown indication |
| 125870911 | 12587091 | 29 | Product used for unknown indication |
| 125870911 | 12587091 | 30 | Product used for unknown indication |
| 125870911 | 12587091 | 31 | Product used for unknown indication |
| 125870911 | 12587091 | 32 | Product used for unknown indication |
| 125870911 | 12587091 | 33 | Product used for unknown indication |
| 125870911 | 12587091 | 34 | Respiratory tract congestion |
| 125870911 | 12587091 | 35 | Product used for unknown indication |
| 125870911 | 12587091 | 36 | Pain |
| 125870911 | 12587091 | 37 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125870911 | 12587091 | Myalgia |
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 |
|---|---|---|---|---|---|---|
| 125870911 | 12587091 | 2 | 20160624 | 0 |