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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126053741 | 12605374 | 1 | I | 201507 | 20150715 | 20160729 | 20160729 | PER | US-PAR PHARMACEUTICAL, INC-2015SCPR014152 | PAR | 0.00 | Y | 0.00000 | 20160729 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126053741 | 12605374 | 1 | PS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | Oral | 1 DF, HS | Y | 26851201 | 200491 | 1 | DF | ER TABLETS | |||||
| 126053741 | 12605374 | 2 | SS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | Oral | 1 DF, OD | Y | 26851201 | 200491 | 1 | DF | ER TABLETS | |||||
| 126053741 | 12605374 | 3 | C | FISH OIL | FISH OIL | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
| 126053741 | 12605374 | 4 | C | MAGNESIUM CITRATE. | MAGNESIUM CITRATE | 1 | Unknown | 2 DF, BID | 0 | 2 | DF | BID | |||||||
| 126053741 | 12605374 | 5 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | |||||||
| 126053741 | 12605374 | 6 | C | BACLOFEN. | BACLOFEN | 1 | Unknown | 3 DF, / DAY | 0 | 3 | DF | TABLET | QD | ||||||
| 126053741 | 12605374 | 7 | C | NAPROXEN. | NAPROXEN | 1 | Unknown | 2 DF, / DAY | 0 | 2 | DF | QD | |||||||
| 126053741 | 12605374 | 8 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | |||||||
| 126053741 | 12605374 | 9 | C | ASTAXANTHIN | 2 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | ||||||||
| 126053741 | 12605374 | 10 | C | WILD ALASKAN SOCKEYE OIL | 2 | Unknown | 3 DF, / DAY | 0 | 3 | DF | QD | ||||||||
| 126053741 | 12605374 | 11 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | |||||||
| 126053741 | 12605374 | 12 | C | PSYLLIUM HUSK /00029102/ | 2 | Unknown | 1 DF, / DAY | 0 | 1 | DF | TABLET | QD | |||||||
| 126053741 | 12605374 | 13 | C | CALCIUM CITRATE | CALCIUM CITRATE | 1 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | |||||||
| 126053741 | 12605374 | 14 | C | FENUGREEK /01475701/ | HERBALS | 1 | Unknown | 2 WITH MEAL, 4 DF, / DAY | 0 | 4 | DF | QD | |||||||
| 126053741 | 12605374 | 15 | C | PGX DAILY | 2 | Unknown | 4 DF, / DAY | 0 | 4 | DF | QD | ||||||||
| 126053741 | 12605374 | 16 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | FOUR PUFFS, / DAY | 0 | INHALER | QD | ||||||||
| 126053741 | 12605374 | 17 | C | ORACEA | DOXYCYCLINE | 1 | Unknown | 1 DF, / DAY | 0 | 1 | DF | QD | |||||||
| 126053741 | 12605374 | 18 | C | CLOBETASOL | CLOBETASOL | 1 | Unknown | TWO TIMES, / DAY | 0 | OINTMENT, CREAM | QD | ||||||||
| 126053741 | 12605374 | 19 | C | NYSTOP | NYSTATIN | 1 | Topical | TWO TIMES, PRN | 0 | POWDER | |||||||||
| 126053741 | 12605374 | 20 | C | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Unknown | 2 DF, PRN | 0 | 2 | DF | TABLET | |||||||
| 126053741 | 12605374 | 21 | C | ALBUTEROL /00139501/ | ALBUTEROL | 1 | Respiratory (inhalation) | TWO PUFFS EVERY FOUR HOURS, PRN | 0 | INHALER |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126053741 | 12605374 | 1 | Pain management |
| 126053741 | 12605374 | 3 | Supplementation therapy |
| 126053741 | 12605374 | 4 | Supplementation therapy |
| 126053741 | 12605374 | 5 | Product used for unknown indication |
| 126053741 | 12605374 | 6 | Product used for unknown indication |
| 126053741 | 12605374 | 7 | Product used for unknown indication |
| 126053741 | 12605374 | 8 | Product used for unknown indication |
| 126053741 | 12605374 | 9 | Product used for unknown indication |
| 126053741 | 12605374 | 10 | Product used for unknown indication |
| 126053741 | 12605374 | 11 | Product used for unknown indication |
| 126053741 | 12605374 | 12 | Product used for unknown indication |
| 126053741 | 12605374 | 13 | Product used for unknown indication |
| 126053741 | 12605374 | 14 | Product used for unknown indication |
| 126053741 | 12605374 | 15 | Product used for unknown indication |
| 126053741 | 12605374 | 16 | Product used for unknown indication |
| 126053741 | 12605374 | 17 | Product used for unknown indication |
| 126053741 | 12605374 | 18 | Product used for unknown indication |
| 126053741 | 12605374 | 19 | Product used for unknown indication |
| 126053741 | 12605374 | 20 | Migraine |
| 126053741 | 12605374 | 21 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126053741 | 12605374 | Anxiety | |
| 126053741 | 12605374 | Feeling jittery | |
| 126053741 | 12605374 | Hot flush | |
| 126053741 | 12605374 | Middle insomnia | |
| 126053741 | 12605374 | Nervousness | |
| 126053741 | 12605374 | Therapy cessation |
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 |
|---|---|---|---|---|---|---|
| 126053741 | 12605374 | 1 | 20150708 | 20150713 | 0 | |
| 126053741 | 12605374 | 2 | 20150715 | 20150715 | 0 |