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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126337082 | 12633708 | 2 | F | 20160228 | 20160816 | 20160808 | 20160819 | EXP | FR-JNJFOC-20160725821 | JANSSEN | 85.61 | YR | E | M | Y | 0.00000 | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126337082 | 12633708 | 1 | SS | DUROGESIC | FENTANYL | 1 | Transdermal | Y | N | UNKNOWN | 0 | MATRIX PATCH | |||||||
| 126337082 | 12633708 | 2 | PS | DUROGESIC | FENTANYL | 1 | Transdermal | Y | N | UNKNOWN | 19813 | MATRIX PATCH | |||||||
| 126337082 | 12633708 | 3 | SS | LEXOMIL | BROMAZEPAM | 1 | Oral | Y | 0 | 12 | MG | TABLET | |||||||
| 126337082 | 12633708 | 4 | C | SEROPLEX | ESCITALOPRAM OXALATE | 1 | Oral | 0 | 1 | DF | TABLET | BID | |||||||
| 126337082 | 12633708 | 5 | C | ELIQUIS | APIXABAN | 1 | Oral | 0 | 1 | DF | TABLET | BID | |||||||
| 126337082 | 12633708 | 6 | C | DAFALGAN | ACETAMINOPHEN | 1 | Oral | 0 | 1 | G | TABLET | TID | |||||||
| 126337082 | 12633708 | 7 | C | XATRAL | ALFUZOSIN | 1 | Oral | 0 | 10 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126337082 | 12633708 | 1 | Back pain |
| 126337082 | 12633708 | 2 | Back pain |
| 126337082 | 12633708 | 3 | Product used for unknown indication |
| 126337082 | 12633708 | 4 | Product used for unknown indication |
| 126337082 | 12633708 | 5 | Product used for unknown indication |
| 126337082 | 12633708 | 6 | Product used for unknown indication |
| 126337082 | 12633708 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126337082 | 12633708 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126337082 | 12633708 | Drug ineffective | |
| 126337082 | 12633708 | Fall |
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 |
|---|---|---|---|---|---|---|
| 126337082 | 12633708 | 1 | 20160223 | 20160228 | 0 | |
| 126337082 | 12633708 | 2 | 201601 | 0 | ||
| 126337082 | 12633708 | 3 | 201601 | 20160228 | 0 |