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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125885661 | 12588566 | 1 | I | 20160707 | 20160707 | 20160725 | 20160725 | PER | US-JNJFOC-20160707233 | JANSSEN | 82.00 | YR | E | F | Y | 83.92000 | KG | 20160725 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125885661 | 12588566 | 1 | PS | TYLENOL 8 HR ARTHRITIS PAIN | ACETAMINOPHEN | 1 | Oral | 1 TABLET, ONCE | N | 1387845 | 19872 | 1 | DF | TABLET | |||||
| 125885661 | 12588566 | 2 | SS | TYLENOL 8 HR ARTHRITIS PAIN | ACETAMINOPHEN | 1 | Oral | 1 TABLET, ONCE | N | 1387845 | 19872 | 1 | DF | TABLET | |||||
| 125885661 | 12588566 | 3 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 125885661 | 12588566 | 4 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125885661 | 12588566 | 1 | Arthralgia |
| 125885661 | 12588566 | 2 | Back pain |
| 125885661 | 12588566 | 3 | Hyperchlorhydria |
| 125885661 | 12588566 | 4 | Thyroid disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125885661 | 12588566 | Incorrect dose administered |
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 |
|---|---|---|---|---|---|---|
| 125885661 | 12588566 | 1 | 20160707 | 0 | ||
| 125885661 | 12588566 | 2 | 20160707 | 0 |