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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126026482 | 12602648 | 2 | F | 20160604 | 20160803 | 20160728 | 20160809 | EXP | JP-GLAXOSMITHKLINE-JP2016JPN105943 | GLAXOSMITHKLINE | 24.16 | YR | M | Y | 46.00000 | KG | 20160809 | CN | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126026482 | 12602648 | 1 | PS | LAMICTAL | LAMOTRIGINE | 1 | Oral | 25 MG, QD | 250 | MG | Y | 20241 | 25 | MG | TABLET | QD | |||
| 126026482 | 12602648 | 2 | C | XYZAL | LEVOCETIRIZINE DIHYDROCHLORIDE | 1 | 5 MG, QD | 0 | 5 | MG | TABLET | QD | |||||||
| 126026482 | 12602648 | 3 | C | DEPAS | ETIZOLAM | 1 | 0.5 MG, TID | 0 | .5 | MG | TID | ||||||||
| 126026482 | 12602648 | 4 | C | MYSLEE | ZOLPIDEM TARTRATE | 1 | 5 MG, QD | 0 | 5 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126026482 | 12602648 | 1 | Bipolar disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126026482 | 12602648 | HO |
| 126026482 | 12602648 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126026482 | 12602648 | Drug eruption | |
| 126026482 | 12602648 | Pyrexia | |
| 126026482 | 12602648 | Rash erythematous | |
| 126026482 | 12602648 | Toxic skin eruption |
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 |
|---|---|---|---|---|---|---|
| 126026482 | 12602648 | 1 | 20160525 | 20160604 | 0 |