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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126063981 | 12606398 | 1 | I | 201607 | 0 | 20160728 | 20160728 | DIR | 37.00 | YR | M | N | 0.00000 | 20160726 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126063981 | 12606398 | 1 | PS | GENOTROPIN | SOMATROPIN | 1 | Subcutaneous | D | D | M46321 | 20180228 | 0 | 0.6 | MG | QD | ||||
| 126063981 | 12606398 | 2 | C | ALTACE | RAMIPRIL | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 3 | C | AMPHET/DEXT | 2 | 0 | |||||||||||||
| 126063981 | 12606398 | 4 | C | CIALIS | TADALAFIL | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 5 | C | COREG | CARVEDILOL | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 6 | SS | HYDROCO/APAP | ACETAMINOPHENHYDROCODONE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 7 | C | LEVITRA | VARDENAFIL HYDROCHLORIDE TRIHYDRATE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 8 | C | METHOTREXATE. | METHOTREXATE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 9 | C | NOVOLOG | INSULIN ASPART | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 10 | C | OXYCODONE AND ACETAMINOPHEN | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 11 | C | PROVOCHOLINE | METHACHOLINE CHLORIDE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 12 | C | R-GENE | ARGININE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 13 | C | VIAGRA | SILDENAFIL CITRATE | 1 | 0 | ||||||||||||
| 126063981 | 12606398 | 14 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126063981 | 12606398 | 1 | Endocrine disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126063981 | 12606398 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126063981 | 12606398 | Arthralgia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126063981 | 12606398 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126063981 | 12606398 | 1 | 201304 | 0 |