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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126303101 | 12630310 | 1 | I | 201501 | 20160512 | 20160808 | 20160808 | PER | US-ACTAVIS-2016-13679 | ACTAVIS | 54.11 | YR | F | Y | 95.24000 | KG | 20160808 | LW | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126303101 | 12630310 | 1 | PS | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Oral | 1 CAPSULE EVERY 4 HOURS, PRN | N | 88616 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126303101 | 12630310 | 1 | Headache |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126303101 | 12630310 | Burning sensation | |
| 126303101 | 12630310 | Pruritus | |
| 126303101 | 12630310 | Rash erythematous | |
| 126303101 | 12630310 | Rash papular | |
| 126303101 | 12630310 | Vision blurred |
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 |
|---|---|---|---|---|---|---|
| 126303101 | 12630310 | 1 | 201501 | 201501 | 0 |