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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126096201 | 12609620 | 1 | I | 20160722 | 20160801 | 20160801 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-061286 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 54.00000 | KG | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126096201 | 12609620 | 1 | PS | COUMADIN | WARFARIN SODIUM | 1 | Oral | UNK | U | 9218 | INJECTION | ||||||||
| 126096201 | 12609620 | 2 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Unknown | U | 0 | ||||||||||
| 126096201 | 12609620 | 3 | C | BENAZEPRIL | BENAZEPRIL HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 126096201 | 12609620 | 4 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | Unknown | U | 0 | ||||||||||
| 126096201 | 12609620 | 5 | C | GLUCOSAMINE CHONDROITIN JOINT FOOD | 2 | Unknown | U | 0 | |||||||||||
| 126096201 | 12609620 | 6 | C | COLLAGEN | COLLAGEN | 1 | Unknown | U | 0 | ||||||||||
| 126096201 | 12609620 | 7 | C | PROBIOTIC /06395501/ | BIFIDOBACTERIUM ANIMALIS SUBSP. LACTIS | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126096201 | 12609620 | 1 | Thrombosis |
| 126096201 | 12609620 | 2 | Product used for unknown indication |
| 126096201 | 12609620 | 3 | Product used for unknown indication |
| 126096201 | 12609620 | 4 | Product used for unknown indication |
| 126096201 | 12609620 | 5 | Product used for unknown indication |
| 126096201 | 12609620 | 6 | Product used for unknown indication |
| 126096201 | 12609620 | 7 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126096201 | 12609620 | Abdominal distension | |
| 126096201 | 12609620 | Chest pain | |
| 126096201 | 12609620 | Fatigue | |
| 126096201 | 12609620 | Malaise | |
| 126096201 | 12609620 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 126096201 | 12609620 | 1 | 20160614 | 0 |