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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126072211 | 12607221 | 1 | I | 201605 | 20160715 | 20160729 | 20160729 | EXP | BX20161109 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL002347 | VALIDUS | 82.00 | YR | F | Y | 0.00000 | 20160729 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126072211 | 12607221 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 250 MG, DAILY | UNKNOWN | 16273 | 250 | MG | TABLET | ||||||
| 126072211 | 12607221 | 2 | SS | AMIODARONE HYDROCHLORIDE. | AMIODARONE HYDROCHLORIDE | 1 | Unknown | 200 MG, DAILY | Y | UNKNOWN | 0 | 200 | MG | ||||||
| 126072211 | 12607221 | 3 | SS | PRISTINAMYCIN | PRISTINAMYCIN | 1 | Oral | 2 DF, UNK | Y | UNKNOWN | 0 | 2 | DF | ||||||
| 126072211 | 12607221 | 4 | SS | AMOXICILLIN. | AMOXICILLIN | 1 | Oral | 1.5 MG, UNK | Y | UNKNOWN | 0 | 1.5 | MG | ||||||
| 126072211 | 12607221 | 5 | C | PREVISCAN /00261401/ | PENTOXIFYLLINE | 1 | U | 0 | |||||||||||
| 126072211 | 12607221 | 6 | C | BISOPROLOL | BISOPROLOL | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126072211 | 12607221 | 1 | Cardiac failure |
| 126072211 | 12607221 | 2 | Atrial flutter |
| 126072211 | 12607221 | 3 | Erysipelas |
| 126072211 | 12607221 | 4 | Erysipelas |
| 126072211 | 12607221 | 5 | Product used for unknown indication |
| 126072211 | 12607221 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126072211 | 12607221 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126072211 | 12607221 | Erythema |
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 |
|---|---|---|---|---|---|---|
| 126072211 | 12607221 | 1 | 201604 | 0 | ||
| 126072211 | 12607221 | 2 | 20160406 | 0 | ||
| 126072211 | 12607221 | 3 | 20160423 | 20160429 | 0 | |
| 126072211 | 12607221 | 4 | 20160418 | 20160423 | 0 |