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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126370944 | 12637094 | 4 | F | 201401 | 20160822 | 20160809 | 20160902 | EXP | US-TEVA-681693USA | TEVA | 23.04 | YR | F | Y | 52.16000 | KG | 20160902 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126370944 | 12637094 | 1 | PS | PROVIGIL | MODAFINIL | 1 | 50-100 MG | 20717 | QD | ||||||||||
| 126370944 | 12637094 | 2 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 10 MILLIGRAM DAILY; | 0 | 10 | MG | QD | ||||||||
| 126370944 | 12637094 | 3 | C | PRENATAL VITAMINS | VITAMINS | 1 | 0 | QD | |||||||||||
| 126370944 | 12637094 | 4 | C | VITAMIN B6 | PYRIDOXINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126370944 | 12637094 | 5 | C | CALCIUM | CALCIUM | 1 | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126370944 | 12637094 | 1 | Fatigue |
| 126370944 | 12637094 | 2 | Hypersensitivity |
| 126370944 | 12637094 | 3 | Pregnancy |
| 126370944 | 12637094 | 4 | Vitamin supplementation |
| 126370944 | 12637094 | 5 | Vitamin supplementation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126370944 | 12637094 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126370944 | 12637094 | Abortion spontaneous | |
| 126370944 | 12637094 | Exposure during pregnancy | |
| 126370944 | 12637094 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126370944 | 12637094 | 1 | 201401 | 20160514 | 0 | |
| 126370944 | 12637094 | 2 | 2010 | 20160613 | 0 | |
| 126370944 | 12637094 | 3 | 20160519 | 0 | ||
| 126370944 | 12637094 | 4 | 20160530 | 0 | ||
| 126370944 | 12637094 | 5 | 2010 | 0 |