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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126302971 | 12630297 | 1 | I | 20151208 | 20160808 | 20160808 | PER | US-ACTAVIS-2015-27140 | ACTAVIS | 0.00 | M | Y | 125.90000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126302971 | 12630297 | 1 | PS | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Oral | 325 MG, PRN | Y | UNKNOWN | 88616 | 325 | MG | TABLET | |||||
| 126302971 | 12630297 | 2 | C | LIORESAL | BACLOFEN | 1 | Oral | 20 MG, TID | UNKNOWN | 0 | 20 | MG | TID | ||||||
| 126302971 | 12630297 | 3 | C | RITALIN | METHYLPHENIDATE HYDROCHLORIDE | 1 | Oral | 10 MG, TID | UNKNOWN | 0 | 10 | MG | TID | ||||||
| 126302971 | 12630297 | 4 | C | NITROSTAT | NITROGLYCERIN | 1 | Sublingual | 0.4 MG, UNK | UNKNOWN | 0 | .4 | MG | |||||||
| 126302971 | 12630297 | 5 | C | NITROGLYCERIN. | NITROGLYCERIN | 1 | Other | 400 MCG, PRN | UNKNOWN | 0 | SPRAY (EXCEPT INHALATION) | ||||||||
| 126302971 | 12630297 | 6 | C | FIXMYSKIN HEALING BALM VANILLA FRAGRANCE | HYDROCORTISONE | 1 | Oral | 20 MG, DAILY | UNKNOWN | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126302971 | 12630297 | 1 | Headache |
| 126302971 | 12630297 | 2 | Product used for unknown indication |
| 126302971 | 12630297 | 3 | Attention deficit/hyperactivity disorder |
| 126302971 | 12630297 | 4 | Product used for unknown indication |
| 126302971 | 12630297 | 5 | Product used for unknown indication |
| 126302971 | 12630297 | 6 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126302971 | 12630297 | Drug ineffective |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |