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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126282581 | 12628258 | 1 | I | 201606 | 20160713 | 20160808 | 20160808 | PER | US-009507513-1607USA005578 | MERCK | 56.23 | YR | F | Y | 126.10000 | KG | 20160808 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126282581 | 12628258 | 1 | PS | JANUMET XR | METFORMIN HYDROCHLORIDESITAGLIPTIN PHOSPHATE | 1 | DOSE 50/100MG TABLET TWICE DAILY (BID) | 22044 | PROLONGED-RELEASE TABLET | BID | |||||||||
| 126282581 | 12628258 | 2 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | 122.5 MG, QD | M81882 | 0 | 122.5 | MG | QD | |||||||
| 126282581 | 12628258 | 3 | C | LANTUS | INSULIN GLARGINE | 1 | 25 UNITS AT NIGHT | 0 | |||||||||||
| 126282581 | 12628258 | 4 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126282581 | 12628258 | 1 | Type 2 diabetes mellitus |
| 126282581 | 12628258 | 2 | Peptic ulcer |
| 126282581 | 12628258 | 3 | Type 2 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126282581 | 12628258 | Blood glucose increased | |
| 126282581 | 12628258 | Diarrhoea | |
| 126282581 | 12628258 | Incorrect dose administered | |
| 126282581 | 12628258 | 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 |
|---|---|---|---|---|---|---|
| 126282581 | 12628258 | 1 | 201606 | 0 | ||
| 126282581 | 12628258 | 3 | 201606 | 0 |