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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126295841 | 12629584 | 1 | I | 20160707 | 20160729 | 20160808 | 20160808 | EXP | FR-AFSSAPS-LL20161266 | FR-GLAXOSMITHKLINE-FR2016GSK110286 | GLAXOSMITHKLINE | 44.00 | YR | F | Y | 0.00000 | 20160808 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126295841 | 12629584 | 1 | PS | Zelitrex | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | 2 DF, Z | Y | 20487 | 2 | DF | |||||||
| 126295841 | 12629584 | 2 | SS | CELLCEPT | MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL HYDROCHLORIDE | 1 | UNK | Y | 0 | ||||||||||
| 126295841 | 12629584 | 3 | SS | INEXIUM | ESOMEPRAZOLE | 1 | Oral | UNK | Y | 0 | TABLET | ||||||||
| 126295841 | 12629584 | 4 | C | CORTANCYL | PREDNISONE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126295841 | 12629584 | 1 | Herpes zoster |
| 126295841 | 12629584 | 2 | Scleroderma |
| 126295841 | 12629584 | 3 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126295841 | 12629584 | OT |
| 126295841 | 12629584 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126295841 | 12629584 | Neutropenia |
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 |
|---|---|---|---|---|---|---|
| 126295841 | 12629584 | 1 | 20160612 | 20160707 | 0 | |
| 126295841 | 12629584 | 2 | 20160421 | 20160711 | 0 | |
| 126295841 | 12629584 | 3 | 20160421 | 20160711 | 0 | |
| 126295841 | 12629584 | 4 | 20160421 | 0 |