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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126294591 | 12629459 | 1 | I | 20160718 | 20160725 | 20160808 | 20160808 | PER | IT-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-49065IT | BOEHRINGER INGELHEIM | 88.29 | YR | M | Y | 71.00000 | KG | 20160808 | MD | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126294591 | 12629459 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | STRENGTH: 110MG | N | 22512 | CAPSULE, HARD | ||||||||
| 126294591 | 12629459 | 2 | C | QUETIAPINE FUMARATE. | QUETIAPINE FUMARATE | 1 | Oral | 0 | |||||||||||
| 126294591 | 12629459 | 3 | C | VALPROIC ACID. | VALPROIC ACID | 1 | Unknown | 0 | |||||||||||
| 126294591 | 12629459 | 4 | C | DIGOXIN. | DIGOXIN | 1 | Unknown | 0 | |||||||||||
| 126294591 | 12629459 | 5 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | 0 | |||||||||||
| 126294591 | 12629459 | 6 | C | PARACETAMOL | ACETAMINOPHEN | 1 | Unknown | 0 | |||||||||||
| 126294591 | 12629459 | 7 | C | EBIXA | MEMANTINE HYDROCHLORIDE | 1 | Oral | STRENGTH:10 MG | 0 | COATED TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126294591 | 12629459 | 1 | Atrial fibrillation |
| 126294591 | 12629459 | 2 | Product used for unknown indication |
| 126294591 | 12629459 | 3 | Product used for unknown indication |
| 126294591 | 12629459 | 4 | Product used for unknown indication |
| 126294591 | 12629459 | 5 | Product used for unknown indication |
| 126294591 | 12629459 | 6 | Product used for unknown indication |
| 126294591 | 12629459 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126294591 | 12629459 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126294591 | 12629459 | Melaena |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |