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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125901322 | 12590132 | 2 | F | 20160706 | 20160817 | 20160725 | 20160829 | PER | US-GLAXOSMITHKLINE-US2016099139 | GLAXOSMITHKLINE | 70.69 | YR | F | Y | 0.00000 | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125901322 | 12590132 | 1 | PS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Intravenous (not otherwise specified) | 6 MG, PRN | C751064 | 20080 | 6 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||
| 125901322 | 12590132 | 2 | SS | Sumatriptan (Sumatriptan succinate) Tablet | SUMATRIPTAN | 1 | Oral | UNK | UNKNOWN | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125901322 | 12590132 | 1 | Migraine |
| 125901322 | 12590132 | 2 | Migraine |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125901322 | 12590132 | Complication associated with device | |
| 125901322 | 12590132 | Product quality issue | |
| 125901322 | 12590132 | Therapeutic response delayed | |
| 125901322 | 12590132 | Wrong technique in product usage process |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |