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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996751 | 12599675 | 1 | I | 20150704 | 20150709 | 20160727 | 20160727 | PER | US-SA-2015SA102857 | AVENTIS | 0.00 | A | M | Y | 82.00000 | KG | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996751 | 12599675 | 1 | PS | AMBIEN | ZOLPIDEM TARTRATE | 1 | Unknown | FREQUENCY: ALL AT ONCE AT BEDTIME | UNKNOWN | 19908 | 10 | MG | |||||||
| 125996751 | 12599675 | 2 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | STARTED 10 YEARS AGO | UNKNOWN | 0 | 1800 | MG | QD | ||||||
| 125996751 | 12599675 | 3 | SS | SKELAXIN | METAXALONE | 1 | Unknown | FREQUENCY: ALL AT ONCE AT BEDTIME | UNKNOWN | 0 | 1600 | MG | QD | ||||||
| 125996751 | 12599675 | 4 | SS | CLONAPIN | CLONAZEPAM | 1 | Unknown | UNKNOWN | 0 | 8 | MG | QD | |||||||
| 125996751 | 12599675 | 5 | SS | SEROQUEL | QUETIAPINE FUMARATE | 1 | Unknown | STARTED 6 WEEKS AGO | UNKNOWN | 0 | 300 | MG | |||||||
| 125996751 | 12599675 | 6 | SS | BACLOFEN. | BACLOFEN | 1 | Unknown | UNKNOWN | 0 | 120 | MG | ||||||||
| 125996751 | 12599675 | 7 | SS | CHANTIX | VARENICLINE TARTRATE | 1 | Unknown | TOOK FOR 2 WEEKS | UNKNOWN | 0 | .5 | MG | TABLET | ||||||
| 125996751 | 12599675 | 8 | SS | CHANTIX | VARENICLINE TARTRATE | 1 | Unknown | UNKNOWN | 0 | 1 | MG | TABLET | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125996751 | 12599675 | 1 | Sleep disorder |
| 125996751 | 12599675 | 2 | Neuropathy peripheral |
| 125996751 | 12599675 | 3 | Muscle spasms |
| 125996751 | 12599675 | 4 | Sleep disorder |
| 125996751 | 12599675 | 5 | Sleep disorder |
| 125996751 | 12599675 | 6 | Muscle disorder |
| 125996751 | 12599675 | 7 | Ex-tobacco user |
| 125996751 | 12599675 | 8 | Ex-tobacco user |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125996751 | 12599675 | Drug ineffective | |
| 125996751 | 12599675 | Feeling abnormal | |
| 125996751 | 12599675 | Head discomfort | |
| 125996751 | 12599675 | Insomnia | |
| 125996751 | 12599675 | Thinking abnormal |
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 |
|---|---|---|---|---|---|---|
| 125996751 | 12599675 | 3 | 2000 | 0 | ||
| 125996751 | 12599675 | 4 | 2000 | 0 | ||
| 125996751 | 12599675 | 5 | 2002 | 0 | ||
| 125996751 | 12599675 | 6 | 2000 | 0 | ||
| 125996751 | 12599675 | 7 | 20150512 | 0 | ||
| 125996751 | 12599675 | 8 | 20150512 | 0 |