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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126141121 | 12614112 | 1 | I | 20140831 | 20150119 | 20160802 | 20160802 | EXP | US-ASTELLAS-2015US002083 | ASTELLAS | 17.10 | YR | F | Y | 0.00000 | 20160802 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126141121 | 12614112 | 1 | PS | TACROLIMUS. | TACROLIMUS | 1 | Topical | 0.1 %, UNKNOWN FREQ. | 50777 | .1 | PCT | OINTMENT | |||||||
126141121 | 12614112 | 2 | C | MUPIROCIN. | MUPIROCIN | 1 | Topical | UNK UNK, UNKNOWN FREQ. | U | 0 | OINTMENT | ||||||||
126141121 | 12614112 | 3 | C | ALTABAX | RETAPAMULIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126141121 | 12614112 | 1 | Dermatitis atopic |
126141121 | 12614112 | 2 | Impetigo |
126141121 | 12614112 | 3 | Dermatitis atopic |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126141121 | 12614112 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126141121 | 12614112 | Endometriosis | |
126141121 | 12614112 | Off label use | |
126141121 | 12614112 | Ovarian cyst |
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 |
---|---|---|---|---|---|---|
126141121 | 12614112 | 1 | 200001 | 0 |