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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126137581 | 12613758 | 1 | I | 20140123 | 20160726 | 20160802 | 20160802 | EXP | US-HORIZON-PEN-0350-2016 | HORIZON | 64.00 | YR | A | F | Y | 0.00000 | 20160801 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126137581 | 12613758 | 1 | PS | PENNSAID | DICLOFENAC SODIUM | 1 | 2 PUMPS (40 MG) BID | U | 204623 | 2 | DF | BID | |||||||
126137581 | 12613758 | 2 | SS | ZANAFLEX | TIZANIDINE HYDROCHLORIDE | 1 | U | 0 | |||||||||||
126137581 | 12613758 | 3 | SS | NAPROSYN | NAPROXEN | 1 | U | 0 | |||||||||||
126137581 | 12613758 | 4 | SS | NEURONTIN | GABAPENTIN | 1 | U | 0 | |||||||||||
126137581 | 12613758 | 5 | SS | Sulfa | UNSPECIFIED INGREDIENT | 1 | U | 0 | |||||||||||
126137581 | 12613758 | 6 | C | Coq10 | UBIDECARENONE | 1 | Oral | 0 | 200 | MG | QD | ||||||||
126137581 | 12613758 | 7 | C | DHEA | PRASTERONE | 1 | Oral | 0 | 50 | MG | QD | ||||||||
126137581 | 12613758 | 8 | C | ESTRADIOL. | ESTRADIOL | 1 | Oral | 0 | 1 | MG | QD | ||||||||
126137581 | 12613758 | 9 | C | FLECTOR | DICLOFENAC EPOLAMINE | 1 | Transdermal | 1 PATCH 180 MG | 0 | ||||||||||
126137581 | 12613758 | 10 | C | GABAPENTIN. | GABAPENTIN | 1 | Oral | 0 | 100 | MG | TID | ||||||||
126137581 | 12613758 | 11 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 0 | 5 | MG | QD | ||||||||
126137581 | 12613758 | 12 | C | METOPROLOL SUCCINATE. | METOPROLOL SUCCINATE | 1 | Oral | 0 | 50 | MG | QD | ||||||||
126137581 | 12613758 | 13 | C | MUPIROCIN. | MUPIROCIN | 1 | Topical | 0 | OINTMENT | ||||||||||
126137581 | 12613758 | 14 | C | OMEGA-3 ACIDS | OMEGA-3 FATTY ACIDS | 1 | Oral | 0 | 1000 | MG | QD | ||||||||
126137581 | 12613758 | 15 | C | Oxycodone | OXYCODONE | 1 | Oral | 0 | 10 | MG | Q8H | ||||||||
126137581 | 12613758 | 16 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | 0 | 75 | MG | QD | ||||||||
126137581 | 12613758 | 17 | C | PRAVASTATIN. | PRAVASTATIN | 1 | Oral | 0 | 20 | MG | QD | ||||||||
126137581 | 12613758 | 18 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 0 | 325 | MG | TABLET | QD | |||||||
126137581 | 12613758 | 19 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | 0 | 1 | DF | TABLET | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126137581 | 12613758 | 1 | Product used for unknown indication |
126137581 | 12613758 | 2 | Product used for unknown indication |
126137581 | 12613758 | 3 | Product used for unknown indication |
126137581 | 12613758 | 4 | Product used for unknown indication |
126137581 | 12613758 | 5 | Product used for unknown indication |
126137581 | 12613758 | 16 | Anticoagulant therapy |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126137581 | 12613758 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126137581 | 12613758 | Arthralgia | |
126137581 | 12613758 | Back pain | |
126137581 | 12613758 | Diabetes mellitus | |
126137581 | 12613758 | Drug hypersensitivity | |
126137581 | 12613758 | Haemorrhoid operation | |
126137581 | 12613758 | Hysterectomy | |
126137581 | 12613758 | Lumbar radiculopathy | |
126137581 | 12613758 | Neuropathy peripheral | |
126137581 | 12613758 | Pain | |
126137581 | 12613758 | Pain in extremity | |
126137581 | 12613758 | Pruritus | |
126137581 | 12613758 | Rash | |
126137581 | 12613758 | Somnolence | |
126137581 | 12613758 | Vomiting |
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 |
---|---|---|---|---|---|---|
126137581 | 12613758 | 9 | 20160407 | 0 | ||
126137581 | 12613758 | 10 | 20160219 | 0 | ||
126137581 | 12613758 | 15 | 20160531 | 0 |