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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126159571 | 12615957 | 1 | I | 20151213 | 20160727 | 20160802 | 20160802 | EXP | IT-MINISAL02-368901 | IT-MYLANLABS-2016M1031323 | MYLAN | 0.00 | Y | 0.00000 | 20160802 | MD | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126159571 | 12615957 | 1 | PS | BISOPROLOL | BISOPROLOL | 1 | Oral | 1.25 MG, QD | Y | U | 75831 | 1.25 | MG | TABLET | QD | ||||
| 126159571 | 12615957 | 2 | C | TACHIDOL | ACETAMINOPHENCODEINE PHOSPHATE | 1 | UNK | 0 | |||||||||||
| 126159571 | 12615957 | 3 | C | TAVOR (LORAZEPAM) | LORAZEPAM | 1 | UNK | 0 | |||||||||||
| 126159571 | 12615957 | 4 | C | ASCRIPTIN | ASPIRIN | 1 | UNK | 0 | |||||||||||
| 126159571 | 12615957 | 5 | C | RAMIPRIL. | RAMIPRIL | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126159571 | 12615957 | 1 | Product used for unknown indication |
| 126159571 | 12615957 | 2 | Product used for unknown indication |
| 126159571 | 12615957 | 3 | Product used for unknown indication |
| 126159571 | 12615957 | 4 | Product used for unknown indication |
| 126159571 | 12615957 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126159571 | 12615957 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126159571 | 12615957 | Blood pressure decreased | |
| 126159571 | 12615957 | Body temperature decreased | |
| 126159571 | 12615957 | Bradycardia | |
| 126159571 | 12615957 | Syncope |
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 |
|---|---|---|---|---|---|---|
| 126159571 | 12615957 | 1 | 20151213 | 0 |