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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126172811 | 12617281 | 1 | I | 201307 | 20160729 | 20160803 | 20160803 | EXP | BR-009507513-1608BRA000717 | MERCK | 75.00 | YR | F | Y | 84.00000 | KG | 20160803 | CN | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126172811 | 12617281 | 1 | SS | PNEUMOCOCCAL VACCINE, POLYVALENT (23-VALENT) | PNEUMOCOCCAL VACCINE, POLYVALENT 23 | 1 | 0 | INJECTION | |||||||||||
| 126172811 | 12617281 | 2 | PS | LOSARTAN POTASSIUM. | LOSARTAN POTASSIUM | 1 | Oral | 50 MG TABLETS EVERY 12 HOURS | 20386 | 50 | MG | TABLET | Q12H | ||||||
| 126172811 | 12617281 | 3 | SS | DESALEX | DESLORATADINE | 1 | Oral | UNK | 0 | TABLET | |||||||||
| 126172811 | 12617281 | 4 | C | HIGROTON | CHLORTHALIDONE | 1 | Oral | 12.5 MG, QD | 0 | TABLET | |||||||||
| 126172811 | 12617281 | 5 | C | GLIFAGE | METFORMIN HYDROCHLORIDE | 1 | Oral | 500 MG, QD | 0 | 500 | MG | TABLET | QD | ||||||
| 126172811 | 12617281 | 6 | C | DIAMICRON | GLICLAZIDE | 1 | Oral | ONE TABLET DAILY | 0 | 1 | DF | TABLET | QD | ||||||
| 126172811 | 12617281 | 7 | C | PNEUMOCOCCAL VACCINE (UNSPECIFIED) | 2 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126172811 | 12617281 | 2 | Hypertension |
| 126172811 | 12617281 | 4 | Hypertension |
| 126172811 | 12617281 | 5 | Diabetes mellitus |
| 126172811 | 12617281 | 6 | Diabetes mellitus |
| 126172811 | 12617281 | 7 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126172811 | 12617281 | OT |
| 126172811 | 12617281 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126172811 | 12617281 | Cough | |
| 126172811 | 12617281 | Headache | |
| 126172811 | 12617281 | Skin cancer | |
| 126172811 | 12617281 | Thrombosis |
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 |
|---|---|---|---|---|---|---|
| 126172811 | 12617281 | 1 | 201306 | 201306 | 0 | |
| 126172811 | 12617281 | 2 | 2011 | 0 | ||
| 126172811 | 12617281 | 4 | 2011 | 0 | ||
| 126172811 | 12617281 | 7 | 201306 | 0 |