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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126256852 | 12625685 | 2 | F | 201508 | 20160902 | 20160805 | 20160907 | PER | US-GLAXOSMITHKLINE-US2016108735 | GLAXOSMITHKLINE | 60.00 | YR | F | Y | 0.00000 | 20160907 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126256852 | 12625685 | 1 | PS | VOLTAREN | DICLOFENAC SODIUM | 1 | UNK | UNK | 22122 | GEL | |||||||||
| 126256852 | 12625685 | 2 | SS | VOLTAREN | DICLOFENAC SODIUM | 1 | UNK | W4124 | 22122 | GEL |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126256852 | 12625685 | 1 | Rheumatic disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126256852 | 12625685 | Asthma | |
| 126256852 | 12625685 | Drug administered at inappropriate site | |
| 126256852 | 12625685 | Intentional product misuse | |
| 126256852 | 12625685 | Prescription drug used without a prescription | |
| 126256852 | 12625685 | Product quality issue | |
| 126256852 | 12625685 | Therapeutic response unexpected | |
| 126256852 | 12625685 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 126256852 | 12625685 | 1 | 201508 | 201512 | 0 | |
| 126256852 | 12625685 | 2 | 20160722 | 0 |