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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996781 | 12599678 | 1 | I | 20150727 | 20160727 | 20160727 | PER | US-SA-2015SA112123 | AVENTIS | 82.00 | YR | E | F | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996781 | 12599678 | 1 | PS | AMBIEN | ZOLPIDEM TARTRATE | 1 | Oral | UNKNOWN | 19908 | 10 | MG | FILM-COATED TABLET | QD | ||||||
| 125996781 | 12599678 | 2 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | DOSE:50000 UNIT(S) | 0 | /wk | |||||||||
| 125996781 | 12599678 | 3 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | DOSE:1000 UNIT(S) | 0 | QD | |||||||||
| 125996781 | 12599678 | 4 | C | LASIX | FUROSEMIDE | 1 | Unknown | 0 | |||||||||||
| 125996781 | 12599678 | 5 | C | POTASSIUM | POTASSIUM | 1 | Unknown | 0 | |||||||||||
| 125996781 | 12599678 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 0 | QD | ||||||||||
| 125996781 | 12599678 | 7 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | 0 | QD | ||||||||||
| 125996781 | 12599678 | 8 | C | ISOSORBIDE. | ISOSORBIDE | 1 | Unknown | 0 | |||||||||||
| 125996781 | 12599678 | 9 | C | METOPROLOL. | METOPROLOL | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125996781 | 12599678 | 1 | Insomnia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125996781 | 12599678 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125996781 | 12599678 | Drug dependence | |
| 125996781 | 12599678 | Drug ineffective | |
| 125996781 | 12599678 | Malaise |
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 |
|---|---|---|---|---|---|---|
| 125996781 | 12599678 | 1 | 2000 | 0 |