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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126186181 | 12618618 | 1 | I | 20150804 | 20160803 | 20160803 | PER | US-ALLERGAN-1647740 | ALLERGAN | 0.00 | F | Y | 77.00000 | KG | 20160803 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126186181 | 12618618 | 1 | PS | MORPHINE SULFATE Unk | MORPHINE SULFATE | 1 | Oral | 45 MG, BID | UNKNOWN | 20616 | 45 | MG | BID | ||||||
| 126186181 | 12618618 | 2 | C | ATIVAN | LORAZEPAM | 1 | Unknown | UNK, PRN USUALLY TAKES 1-2/ MONTH | U | UNKNOWN | 0 | INJECTION | |||||||
| 126186181 | 12618618 | 3 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 5 MG, QPM | U | UNKNOWN | 0 | 5 | MG | QD | |||||
| 126186181 | 12618618 | 4 | C | CARDIA | AJMALINE | 1 | Oral | 120 MG, DAILY | U | DRUG USE FOR UNKNOWN INDICATION | 0 | 120 | MG | QD | |||||
| 126186181 | 12618618 | 5 | C | CITALOPRAM /00582603/ | 2 | Oral | 20 MG, DAILY | U | UNKNOWN | 0 | 20 | MG | QD | ||||||
| 126186181 | 12618618 | 6 | C | CALCITONIN /00371903/ | 2 | Nasal | 200 IU, DAILY, EVERY OTHER NOSTRIL | U | UNKNOWN | 0 | 200 | IU | SPRAY (EXCEPT INHALATION) | QD | |||||
| 126186181 | 12618618 | 7 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 0.112 MG, DAILY | U | UNKNOWN | 0 | .112 | MG | QD | |||||
| 126186181 | 12618618 | 8 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 20 MG, DAILY | U | UNKNOWN | 0 | 20 | MG | QD | |||||
| 126186181 | 12618618 | 9 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Oral | 40 MG, DAILY | U | UNKNOWN | 0 | 40 | MG | QD | |||||
| 126186181 | 12618618 | 10 | C | VICODIN | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | 2 TABLETS, BID | U | UNKNOWN | 0 | ||||||||
| 126186181 | 12618618 | 11 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | Oral | 5 MG, QPM | U | UNKNOWN | 0 | 5 | MG | TABLET | QD | ||||
| 126186181 | 12618618 | 12 | C | PRESERVISION 3 | 2 | Oral | 2 TABLETS, DAILY | U | UNKNOWN | 0 | TABLET | ||||||||
| 126186181 | 12618618 | 13 | C | MURO 128 | SODIUM CHLORIDE | 1 | Ophthalmic | 4 GTT DROP(S), DAILY | U | UNKNOWN | 0 | 4 | GTT | QD | |||||
| 126186181 | 12618618 | 14 | C | MURO 128 | SODIUM CHLORIDE | 1 | Ophthalmic | 1 APPLICATION, IN EACH EYE EVERY NIGHT | U | UNKNOWN | 0 | OINTMENT | |||||||
| 126186181 | 12618618 | 15 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Oral | 1 CAPFUL, PRN | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126186181 | 12618618 | 1 | Intervertebral disc degeneration |
| 126186181 | 12618618 | 2 | Headache |
| 126186181 | 12618618 | 3 | Product used for unknown indication |
| 126186181 | 12618618 | 4 | Product used for unknown indication |
| 126186181 | 12618618 | 5 | Product used for unknown indication |
| 126186181 | 12618618 | 6 | Product used for unknown indication |
| 126186181 | 12618618 | 7 | Product used for unknown indication |
| 126186181 | 12618618 | 8 | Product used for unknown indication |
| 126186181 | 12618618 | 9 | Product used for unknown indication |
| 126186181 | 12618618 | 10 | Product used for unknown indication |
| 126186181 | 12618618 | 11 | Product used for unknown indication |
| 126186181 | 12618618 | 12 | Product used for unknown indication |
| 126186181 | 12618618 | 13 | Product used for unknown indication |
| 126186181 | 12618618 | 14 | Product used for unknown indication |
| 126186181 | 12618618 | 15 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126186181 | 12618618 | Drug ineffective | |
| 126186181 | 12618618 | Product substitution issue |
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 |
|---|---|---|---|---|---|---|
| 126186181 | 12618618 | 1 | 201505 | 0 |