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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126255812 | 12625581 | 2 | F | 201607 | 20160816 | 20160805 | 20160822 | EXP | JP-GLAXOSMITHKLINE-JP2016JPN110816 | GLAXOSMITHKLINE | 79.00 | YR | F | Y | 40.00000 | KG | 20160822 | CN | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126255812 | 12625581 | 1 | PS | VALTREX | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | 1000 MG, BID | Y | 20487 | 1000 | MG | TABLET | BID | |||||
| 126255812 | 12625581 | 2 | C | OLMETEC | OLMESARTAN MEDOXOMIL | 1 | UNK | 0 | |||||||||||
| 126255812 | 12625581 | 3 | C | FLUITRAN | TRICHLORMETHIAZIDE | 1 | UNK | 0 | |||||||||||
| 126255812 | 12625581 | 4 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | UNK | 0 | |||||||||||
| 126255812 | 12625581 | 5 | C | TAKEPRON | LANSOPRAZOLE | 1 | UNK | 0 | |||||||||||
| 126255812 | 12625581 | 6 | C | MAGMITT | MAGNESIUM OXIDE | 1 | UNK | 0 | |||||||||||
| 126255812 | 12625581 | 7 | C | EDIROL | ELDECALCITOL | 1 | UNK | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126255812 | 12625581 | OT |
| 126255812 | 12625581 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126255812 | 12625581 | Altered state of consciousness | |
| 126255812 | 12625581 | Dyskinesia | |
| 126255812 | 12625581 | Hallucination, visual | |
| 126255812 | 12625581 | Hypophagia | |
| 126255812 | 12625581 | Renal disorder | |
| 126255812 | 12625581 | Toxic encephalopathy |
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 |
|---|---|---|---|---|---|---|
| 126255812 | 12625581 | 1 | 20160720 | 20160727 | 0 |