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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126355621 | 12635562 | 1 | I | 20160728 | 20160809 | 20160809 | PER | US-ASTRAZENECA-2016SE82395 | ASTRAZENECA | 0.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126355621 | 12635562 | 1 | PS | PRILOSEC OTC | OMEPRAZOLE MAGNESIUM | 1 | Oral | U | 21229 | 20 | MG | MODIFIED-RELEASE TABLET | QD | ||||||
| 126355621 | 12635562 | 2 | C | COMPOUNDED THYROID MEDICATION NOT SPECIFIED | 2 | Unknown | 0 | ||||||||||||
| 126355621 | 12635562 | 3 | C | ALBUTEROL. | ALBUTEROL | 1 | Respiratory (inhalation) | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126355621 | 12635562 | 1 | Gastrooesophageal reflux disease |
| 126355621 | 12635562 | 2 | Thyroid disorder |
| 126355621 | 12635562 | 3 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126355621 | 12635562 | Diarrhoea | |
| 126355621 | 12635562 | Drug intolerance | |
| 126355621 | 12635562 | Dysphagia | |
| 126355621 | 12635562 | Dyspnoea | |
| 126355621 | 12635562 | Feeling abnormal | |
| 126355621 | 12635562 | Hyperchlorhydria | |
| 126355621 | 12635562 | Malaise | |
| 126355621 | 12635562 | Pain |
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 |
|---|---|---|---|---|---|---|
| 126355621 | 12635562 | 1 | 201607 | 0 |