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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125975511 | 12597551 | 1 | I | 19890622 | 0 | 20160726 | 20160726 | DIR | 54.00 | YR | F | N | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125975511 | 12597551 | 1 | PS | AMOXICILLIN. | AMOXICILLIN | 1 | Oral | Y | D | 0 | 250 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125975511 | 12597551 | 1 | Tooth infection |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125975511 | 12597551 | RI |
| 125975511 | 12597551 | LT |
| 125975511 | 12597551 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125975511 | 12597551 | Anaphylactic reaction | |
| 125975511 | 12597551 | Angioedema | |
| 125975511 | 12597551 | Cough | |
| 125975511 | 12597551 | Pruritus | |
| 125975511 | 12597551 | Urticaria | |
| 125975511 | 12597551 | Wheezing |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 125975511 | 12597551 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 125975511 | 12597551 | 1 | 20160615 | 20160622 | 0 |