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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126047681 | 12604768 | 1 | I | 20160601 | 20160715 | 20160728 | 20160728 | EXP | CN20160465 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL002336 | VALIDUS | 84.00 | YR | F | Y | 0.00000 | 20160728 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126047681 | 12604768 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 40 MG, DAILY | 16273 | 40 | MG | ||||||||
| 126047681 | 12604768 | 2 | SS | FOZITEC /00915301/ | FOSINOPRIL | 1 | Oral | 10 MG, DAILY | Y | 0 | 10 | MG | |||||||
| 126047681 | 12604768 | 3 | SS | CARDENSIEL | BISOPROLOL FUMARATE | 1 | Oral | 10 MG, DAILY | 0 | 10 | MG | ||||||||
| 126047681 | 12604768 | 4 | SS | DIFFU K | POTASSIUM CHLORIDE | 1 | Oral | 600 MG, DAILY | Y | 0 | 600 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126047681 | 12604768 | 1 | Cardiac failure |
| 126047681 | 12604768 | 2 | Cardiac failure |
| 126047681 | 12604768 | 3 | Cardiac failure |
| 126047681 | 12604768 | 4 | Cardiac failure |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126047681 | 12604768 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126047681 | 12604768 | Acute kidney injury | |
| 126047681 | 12604768 | Confusional state | |
| 126047681 | 12604768 | Hallucination |
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 |
|---|---|---|---|---|---|---|
| 126047681 | 12604768 | 1 | 20160527 | 0 | ||
| 126047681 | 12604768 | 2 | 20160527 | 20160601 | 0 | |
| 126047681 | 12604768 | 3 | 20160527 | 0 | ||
| 126047681 | 12604768 | 4 | 20160527 | 20160601 | 0 |