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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126046462 | 12604646 | 2 | F | 20160719 | 20160727 | 20160728 | 20160729 | EXP | CZ-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-47571CZ | BOEHRINGER INGELHEIM | 92.00 | YR | M | Y | 0.00000 | 20160729 | MD | CZ | CZ |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126046462 | 12604646 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 22512 | CAPSULE | ||||||||||
| 126046462 | 12604646 | 2 | SS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | 22512 | ||||||||||||
| 126046462 | 12604646 | 3 | C | BETADINE | POVIDONE-IODINE | 1 | Unknown | 0 | ORAL SOLUTION | ||||||||||
| 126046462 | 12604646 | 4 | C | CAVINTON | VINPOCETINE | 1 | Oral | 10 MG | 0 | 5 | MG | TABLET | BID | ||||||
| 126046462 | 12604646 | 5 | C | DIAZEPAM. | DIAZEPAM | 1 | Oral | 5 MG | 0 | 5 | MG | TABLET | QD | ||||||
| 126046462 | 12604646 | 6 | C | DIGOXIN. | DIGOXIN | 1 | Oral | 0.0625 MG | 0 | .125 | MG | TABLET | QOD | ||||||
| 126046462 | 12604646 | 7 | C | ERCEFURYL | NIFUROXAZIDE | 1 | Oral | 600 MG | 0 | 200 | MG | CAPSULE | TID | ||||||
| 126046462 | 12604646 | 8 | C | FENTANYL. | FENTANYL | 1 | Unknown | PATCH/FENTANYL; DOSE PER APPLICATION 50 MCG/HR 3/4 OF PLASTER | 0 | TRANSDERMAL PATCH | |||||||||
| 126046462 | 12604646 | 9 | C | HEPAROID | 2 | Unknown | 0 | CREAM | |||||||||||
| 126046462 | 12604646 | 10 | C | LOMAC | OMEPRAZOLE | 1 | Oral | 20 MG | 0 | 20 | MG | CAPSULE | QD | ||||||
| 126046462 | 12604646 | 11 | C | MIRZATEN | MIRTAZAPINE | 1 | Oral | 15 MG | 0 | 15 | MG | TABLET | QD | ||||||
| 126046462 | 12604646 | 12 | C | NITROGLYCERIN. | NITROGLYCERIN | 1 | Sublingual | 0 | TABLET | ||||||||||
| 126046462 | 12604646 | 13 | C | OMNIC | TAMSULOSIN HYDROCHLORIDE | 1 | Oral | 0.4 MG | 0 | .4 | MG | TABLET | QD | ||||||
| 126046462 | 12604646 | 14 | C | PRONTODERM | 2 | Nasal | NASAL GEL | 0 | GEL | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126046462 | 12604646 | 1 | Cerebrovascular accident prophylaxis |
| 126046462 | 12604646 | 2 | Atrial fibrillation |
| 126046462 | 12604646 | 3 | Product used for unknown indication |
| 126046462 | 12604646 | 4 | Product used for unknown indication |
| 126046462 | 12604646 | 5 | Product used for unknown indication |
| 126046462 | 12604646 | 6 | Product used for unknown indication |
| 126046462 | 12604646 | 7 | Product used for unknown indication |
| 126046462 | 12604646 | 8 | Product used for unknown indication |
| 126046462 | 12604646 | 9 | Product used for unknown indication |
| 126046462 | 12604646 | 10 | Product used for unknown indication |
| 126046462 | 12604646 | 11 | Product used for unknown indication |
| 126046462 | 12604646 | 12 | Product used for unknown indication |
| 126046462 | 12604646 | 13 | Product used for unknown indication |
| 126046462 | 12604646 | 14 | Infection prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126046462 | 12604646 | HO |
| 126046462 | 12604646 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126046462 | 12604646 | Gastric haemorrhage | |
| 126046462 | 12604646 | Rectal haemorrhage | |
| 126046462 | 12604646 | Shock haemorrhagic |
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 |
|---|---|---|---|---|---|---|
| 126046462 | 12604646 | 1 | 20160719 | 0 |