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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126303121 | 12630312 | 1 | I | 20150811 | 20160808 | 20160808 | PER | US-ACTAVIS-2015-17077 | ACTAVIS | 0.00 | F | Y | 73.00000 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126303121 | 12630312 | 1 | PS | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Oral | UNK UNK, UNKNOWN | U | UNKNOWN | 88616 | TABLET | |||||||
126303121 | 12630312 | 2 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Oral | 50 MG, BID | U | 27-JUL-2016 | 0 | 50 | MG | BID | |||||
126303121 | 12630312 | 3 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | UNK, UNKNOWN | UNKNOWN | 0 | |||||||||
126303121 | 12630312 | 4 | C | XANAX | ALPRAZOLAM | 1 | Unknown | UNK, UNKNOWN | UNKNOWN | 0 | |||||||||
126303121 | 12630312 | 5 | C | PAXIL | PAROXETINE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | UNKNOWN | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126303121 | 12630312 | 1 | Migraine |
126303121 | 12630312 | 2 | Migraine |
126303121 | 12630312 | 3 | Product used for unknown indication |
126303121 | 12630312 | 4 | Product used for unknown indication |
126303121 | 12630312 | 5 | Product used for unknown indication |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126303121 | 12630312 | Drug ineffective | |
126303121 | 12630312 | Medication overuse headache |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |