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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126350341 | 12635034 | 1 | I | 20101206 | 20101208 | 20160809 | 20160809 | PER | US-ACTAVIS-2010V-00779 | ACTAVIS | 68.26 | YR | F | Y | 86.00000 | KG | 20160809 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126350341 | 12635034 | 1 | PS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | 80 MG, DAILY | UNKNOWN | 78494 | 80 | MG | QD | ||||||
| 126350341 | 12635034 | 2 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | 78494 | ||||||||||||
| 126350341 | 12635034 | 3 | C | PEPCID | FAMOTIDINE | 1 | Oral | UNKNOWN | 0 | 20 | MG | ||||||||
| 126350341 | 12635034 | 4 | C | PEPCID | FAMOTIDINE | 1 | 0 | ||||||||||||
| 126350341 | 12635034 | 5 | C | MYLANTA GAS | 2 | Unknown | UNKNOWN | 0 | |||||||||||
| 126350341 | 12635034 | 6 | C | TUMS /00193601/ | CALCIUM CARBONATEMAGNESIUM CARBONATEMAGNESIUM TRISILICATE | 1 | Unknown | UNK, PRN | UNKNOWN | 0 | |||||||||
| 126350341 | 12635034 | 7 | C | TYLENOL | ACETAMINOPHEN | 1 | Unknown | UNK, PRN | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126350341 | 12635034 | 1 | Arrhythmia |
| 126350341 | 12635034 | 2 | Blood pressure increased |
| 126350341 | 12635034 | 3 | Histamine abnormal |
| 126350341 | 12635034 | 4 | Mastocytosis |
| 126350341 | 12635034 | 5 | Flatulence |
| 126350341 | 12635034 | 6 | Product used for unknown indication |
| 126350341 | 12635034 | 7 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126350341 | 12635034 | Abdominal pain lower | |
| 126350341 | 12635034 | Arrhythmia | |
| 126350341 | 12635034 | Blood glucose increased | |
| 126350341 | 12635034 | Blood pressure increased | |
| 126350341 | 12635034 | Dizziness | |
| 126350341 | 12635034 | Dysgeusia | |
| 126350341 | 12635034 | Feeling abnormal | |
| 126350341 | 12635034 | Feeling hot | |
| 126350341 | 12635034 | Flushing | |
| 126350341 | 12635034 | Headache | |
| 126350341 | 12635034 | Hyperhidrosis | |
| 126350341 | 12635034 | Hypoacusis | |
| 126350341 | 12635034 | Nausea | |
| 126350341 | 12635034 | Pruritus | |
| 126350341 | 12635034 | Rash generalised | |
| 126350341 | 12635034 | Somnolence | |
| 126350341 | 12635034 | Swelling | |
| 126350341 | 12635034 | Tinnitus | |
| 126350341 | 12635034 | Yawning |
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 |
|---|---|---|---|---|---|---|
| 126350341 | 12635034 | 1 | 20101206 | 0 |