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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126350371 | 12635037 | 1 | I | 20160614 | 20160617 | 20160809 | 20160809 | PER | US-ACTAVIS-2016-13097 | ACTAVIS | 69.45 | YR | F | Y | 0.00000 | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126350371 | 12635037 | 1 | PS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | 120 MG, QPM | UNKNOWN | 78494 | 120 | MG | QD | ||||||
| 126350371 | 12635037 | 2 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | 60 MG, QPM | UNKNOWN | 78494 | 60 | MG | QD | ||||||
| 126350371 | 12635037 | 3 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | 80 MG, QPM | UNKNOWN | 0 | 80 | MG | QD | ||||||
| 126350371 | 12635037 | 4 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 100 MG, DAILY | UNKNOWN | 0 | 100 | MG | QD | ||||||
| 126350371 | 12635037 | 5 | C | FLONASE /00908302/ | MOMETASONE FUROATE | 1 | Unknown | UNK, DAILY | UNKNOWN | 0 | QD | ||||||||
| 126350371 | 12635037 | 6 | C | RANITIDINE. | RANITIDINE | 1 | 0 | ||||||||||||
| 126350371 | 12635037 | 7 | C | CLARITIN | LORATADINE | 1 | 0 | ||||||||||||
| 126350371 | 12635037 | 8 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | 0 | ||||||||||||
| 126350371 | 12635037 | 9 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | 2000 MG, DAILY | UNKNOWN | 0 | 2000 | MG | QD | ||||||
| 126350371 | 12635037 | 10 | C | EPIPEN | EPINEPHRINE | 1 | Unknown | UNK, PRN | UNKNOWN | 0 | |||||||||
| 126350371 | 12635037 | 11 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | UNK, PRN | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126350371 | 12635037 | 1 | Hypertension |
| 126350371 | 12635037 | 3 | Hypertension |
| 126350371 | 12635037 | 4 | Product used for unknown indication |
| 126350371 | 12635037 | 5 | Product used for unknown indication |
| 126350371 | 12635037 | 6 | Product used for unknown indication |
| 126350371 | 12635037 | 7 | Product used for unknown indication |
| 126350371 | 12635037 | 8 | Product used for unknown indication |
| 126350371 | 12635037 | 9 | Product used for unknown indication |
| 126350371 | 12635037 | 10 | Product used for unknown indication |
| 126350371 | 12635037 | 11 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126350371 | 12635037 | Drug ineffective | |
| 126350371 | 12635037 | Oedema peripheral |
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 |
|---|---|---|---|---|---|---|
| 126350371 | 12635037 | 1 | 20160613 | 0 | ||
| 126350371 | 12635037 | 3 | 20160613 | 0 |