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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125922741 | 12592274 | 1 | I | 20160606 | 20160719 | 20160726 | 20160726 | EXP | CA-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-060027 | BRISTOL MYERS SQUIBB | 52.96 | YR | F | Y | 0.00000 | 20160726 | PH | CA | CA |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125922741 | 12592274 | 1 | PS | ABILIFY | ARIPIPRAZOLE | 1 | Unknown | 1.5 MG, QD | 21436 | 1.5 | MG | TABLET | QD | ||||||
125922741 | 12592274 | 2 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 200 MG, QD | U | 0 | 200 | MG | QD | ||||||
125922741 | 12592274 | 3 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | Unknown | 300 MG, QD | U | 0 | 300 | MG | QD | ||||||
125922741 | 12592274 | 4 | C | NEURONTIN | GABAPENTIN | 1 | Unknown | 400 MG, BID | U | 0 | 400 | MG | BID | ||||||
125922741 | 12592274 | 5 | C | AVENTYL | 2 | Unknown | 20 MG, QD | U | 0 | 20 | MG | QD | |||||||
125922741 | 12592274 | 6 | C | ATIVAN | LORAZEPAM | 1 | Unknown | 1 MG, QD | U | 0 | 1 | MG | QD | ||||||
125922741 | 12592274 | 7 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | 1200 ?G, QD | U | 0 | 1200 | UG | QD | ||||||
125922741 | 12592274 | 8 | C | CALCIUM/VITAMIN D /01204201/ | CALCIUM CARBONATEERGOCALCIFEROL | 1 | Unknown | 1 DF, BID | U | 0 | 1 | DF | BID | ||||||
125922741 | 12592274 | 9 | C | MATERNA /02266601/ | MINERALSVITAMINS | 1 | Unknown | 1 TAB, BID | U | 0 | 1 | DF | BID | ||||||
125922741 | 12592274 | 10 | C | COLACE | DOCUSATE SODIUM | 1 | Unknown | 2 DF, QD | U | 0 | 2 | DF | QD | ||||||
125922741 | 12592274 | 11 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | 10000 UNIT, QWK | U | 0 | 10000 | DF | /wk | ||||||
125922741 | 12592274 | 12 | C | LOSEC | OMEPRAZOLE | 1 | Unknown | 20 MG, BID | U | 0 | 20 | MG | BID | ||||||
125922741 | 12592274 | 13 | C | SENOKOT | SENNOSIDES | 1 | Unknown | 2 TAB, PRN | U | 0 | 2 | DF | |||||||
125922741 | 12592274 | 14 | C | ESTROGEN | ESTRONESUS SCROFA OVARY | 1 | Unknown | 2 DF, QD | U | 0 | 2 | DF | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125922741 | 12592274 | 1 | Depression |
125922741 | 12592274 | 2 | Product used for unknown indication |
125922741 | 12592274 | 3 | Product used for unknown indication |
125922741 | 12592274 | 4 | Product used for unknown indication |
125922741 | 12592274 | 5 | Fibromyalgia |
125922741 | 12592274 | 6 | Insomnia |
125922741 | 12592274 | 7 | Product used for unknown indication |
125922741 | 12592274 | 8 | Product used for unknown indication |
125922741 | 12592274 | 9 | Product used for unknown indication |
125922741 | 12592274 | 10 | Product used for unknown indication |
125922741 | 12592274 | 11 | Product used for unknown indication |
125922741 | 12592274 | 12 | Product used for unknown indication |
125922741 | 12592274 | 13 | Product used for unknown indication |
125922741 | 12592274 | 14 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125922741 | 12592274 | HO |
125922741 | 12592274 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125922741 | 12592274 | Metabolic surgery | |
125922741 | 12592274 | Off label use | |
125922741 | 12592274 | Suicidal ideation |
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 |
---|---|---|---|---|---|---|
125922741 | 12592274 | 1 | 201602 | 0 |