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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126201801 | 12620180 | 1 | I | 19891223 | 20160727 | 20160803 | 20160803 | EXP | DE-ALLERGAN-1664590US | ALLERGAN | 68.00 | YR | M | Y | 80.00000 | KG | 20160803 | MD | COUNTRY NOT SPECIFIED | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126201801 | 12620180 | 1 | PS | SUCRALFATE - BP | SUCRALFATE | 1 | Oral | 4 DF, QD | 84 | DF | Y | U | 19183 | 4 | DF | QD | |||
| 126201801 | 12620180 | 2 | SS | SUCRALFATE - BP | SUCRALFATE | 1 | 84 | DF | Y | U | 19183 | ||||||||
| 126201801 | 12620180 | 3 | SS | PIROXICAM. | PIROXICAM | 1 | Oral | 20 MG, QD | U | U | 0 | 20 | MG | QD | |||||
| 126201801 | 12620180 | 4 | SS | ACETYLSALICYLIC ACID | ASPIRIN | 1 | Oral | 1.5 MG, QD | U | U | 0 | 1.5 | MG | QD | |||||
| 126201801 | 12620180 | 5 | C | BELOC | METOPROLOL TARTRATE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126201801 | 12620180 | 1 | Gastritis |
| 126201801 | 12620180 | 2 | Duodenitis |
| 126201801 | 12620180 | 3 | Dislocation of vertebra |
| 126201801 | 12620180 | 4 | Cerebrovascular disorder |
| 126201801 | 12620180 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126201801 | 12620180 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126201801 | 12620180 | Upper gastrointestinal haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 126201801 | 12620180 | 1 | 19891203 | 19891223 | 0 | |
| 126201801 | 12620180 | 5 | 1980 | 0 |