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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126060141 | 12606014 | 1 | I | 20160714 | 0 | 20160728 | 20160728 | DIR | 59.00 | YR | F | N | 190.00000 | LBS | 20160727 | N | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126060141 | 12606014 | 1 | PS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 1 CAPSULE(S) AT BEDTIME TAKEN BY MOUTH | Y | D | 476023 | 0 | 1 | DF | CAPSULE | HS | |||
126060141 | 12606014 | 2 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
126060141 | 12606014 | 4 | C | CALCIUM MAGNESIUM ZINC | CALCIUMMAGNESIUMINC | 1 | 0 | ||||||||||||
126060141 | 12606014 | 6 | C | MULTIVITAMIN | VITAMINS | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126060141 | 12606014 | 1 | Insomnia |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126060141 | 12606014 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126060141 | 12606014 | Asthenia | |
126060141 | 12606014 | Drug ineffective | |
126060141 | 12606014 | Nausea | |
126060141 | 12606014 | Product counterfeit | |
126060141 | 12606014 | Product outer packaging issue |
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 |
---|---|---|---|---|---|---|
126060141 | 12606014 | 1 | 20160714 | 20160725 | 0 |