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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126297001 | 12629700 | 1 | I | 20160721 | 20160802 | 20160808 | 20160808 | EXP | US-GLAXOSMITHKLINE-US2016GSK112625 | GLAXOSMITHKLINE | 71.63 | YR | F | Y | 63.50000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126297001 | 12629700 | 1 | PS | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | U | 18644 | TABLET | ||||||||||
| 126297001 | 12629700 | 2 | SS | NICORETTE | NICOTINE | 1 | U | 0 | MEDICATED CHEWING-GUM | ||||||||||
| 126297001 | 12629700 | 3 | SS | ZYBAN | BUPROPION HYDROCHLORIDE | 1 | U | 0 | MODIFIED-RELEASE TABLET | ||||||||||
| 126297001 | 12629700 | 4 | SS | CHANTIX | VARENICLINE TARTRATE | 1 | Oral | 1 MG, BID | F10164430 | 0 | 1 | MG | BID | ||||||
| 126297001 | 12629700 | 5 | C | LOVASTATIN. | LOVASTATIN | 1 | 10 MG, UNK | 0 | 10 | MG | |||||||||
| 126297001 | 12629700 | 6 | C | ATENOLOL. | ATENOLOL | 1 | UNK | 0 | |||||||||||
| 126297001 | 12629700 | 7 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126297001 | 12629700 | 1 | Smoking cessation therapy |
| 126297001 | 12629700 | 2 | Smoking cessation therapy |
| 126297001 | 12629700 | 3 | Smoking cessation therapy |
| 126297001 | 12629700 | 4 | Smoking cessation therapy |
| 126297001 | 12629700 | 5 | Blood cholesterol abnormal |
| 126297001 | 12629700 | 6 | Hypertension |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126297001 | 12629700 | Aneurysm | |
| 126297001 | 12629700 | Back pain | |
| 126297001 | 12629700 | Blood cholesterol increased | |
| 126297001 | 12629700 | Blood triglycerides increased | |
| 126297001 | 12629700 | Drug ineffective | |
| 126297001 | 12629700 | Off label use | |
| 126297001 | 12629700 | Pain in extremity | |
| 126297001 | 12629700 | Spinal pain |
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 |
|---|---|---|---|---|---|---|
| 126297001 | 12629700 | 5 | 201605 | 0 |