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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126404861 | 12640486 | 1 | I | 20160802 | 20160810 | 20160810 | EXP | US-TAKEDA-2016TUS013677 | TAKEDA | 0.00 | F | Y | 0.00000 | 20160810 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126404861 | 12640486 | 1 | PS | DEXILANT | DEXLANSOPRAZOLE | 1 | Unknown | UNK | U | 22287 | SLOW RELEASE CAPSULES | ||||||||
| 126404861 | 12640486 | 2 | SS | Pantoprazole | PANTOPRAZOLE SODIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 126404861 | 12640486 | 3 | SS | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 126404861 | 12640486 | 4 | SS | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 126404861 | 12640486 | 5 | C | ARTHROTEC | DICLOFENAC SODIUMMISOPROSTOL | 1 | Unknown | 75 MG, BID | U | 0 | 75 | MG | BID | ||||||
| 126404861 | 12640486 | 6 | C | PROTONIX /00661201/ | OMEPRAZOLE | 1 | Unknown | 40 MG, BID | U | 0 | 40 | MG | BID | ||||||
| 126404861 | 12640486 | 7 | C | CYTOMEL | LIOTHYRONINE SODIUM | 1 | Unknown | 5 ?G, QD | U | 0 | 5 | UG | TABLET | QD | |||||
| 126404861 | 12640486 | 8 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | 200 MG, UNK | U | 0 | 200 | MG | ||||||||
| 126404861 | 12640486 | 9 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | 5 MG, QD | U | 0 | 5 | MG | QD | |||||||
| 126404861 | 12640486 | 10 | C | TIROSINT | LEVOTHYROXINE SODIUM | 1 | 91 ?G, UNK | U | 0 | 91 | UG | CAPSULE | |||||||
| 126404861 | 12640486 | 11 | C | TIROSINT | LEVOTHYROXINE SODIUM | 1 | 78 ?G, 1/WEEK | U | 0 | 78 | UG | CAPSULE | /wk | ||||||
| 126404861 | 12640486 | 12 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 100 MG, QD | U | 0 | 100 | MG | QD | |||||||
| 126404861 | 12640486 | 13 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | 10 MG, BID | U | 0 | 10 | MG | BID | |||||||
| 126404861 | 12640486 | 14 | C | VALIUM | DIAZEPAM | 1 | 10 MG, QD | U | 0 | 10 | MG | QD | |||||||
| 126404861 | 12640486 | 15 | C | LEXAPRO | ESCITALOPRAM OXALATE | 1 | 25 MG, UNK | U | 0 | 25 | MG | ||||||||
| 126404861 | 12640486 | 16 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 1 UNK, UNK | U | 0 | ||||||||||
| 126404861 | 12640486 | 17 | C | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | U | 0 | |||||||||||
| 126404861 | 12640486 | 18 | C | CEFPODOXIME PROXETIL. | CEFPODOXIME PROXETIL | 1 | 200 MG, BID | U | 0 | 200 | MG | BID | |||||||
| 126404861 | 12640486 | 19 | C | ACIDOPHILUS | LACTOBACILLUS ACIDOPHILUS | 1 | 10 MG, BID | U | 0 | 10 | MG | CAPSULE | BID | ||||||
| 126404861 | 12640486 | 20 | C | ASTEPRO | AZELASTINE HYDROCHLORIDE | 1 | U | 0 | NASAL SPRAY | ||||||||||
| 126404861 | 12640486 | 21 | C | FLONASE /00908302/ | MOMETASONE FUROATE | 1 | U | 0 | NASAL SPRAY | ||||||||||
| 126404861 | 12640486 | 22 | C | POTASSIUM /00031402/ | POTASSIUM | 1 | 500 MG, UNK | U | 0 | 500 | MG | ||||||||
| 126404861 | 12640486 | 23 | C | CALCIUM | CALCIUM | 1 | 600 MG, BID | U | 0 | 600 | MG | BID | |||||||
| 126404861 | 12640486 | 24 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | 325 MG, QD | U | 0 | 325 | MG | TABLET | QD | ||||||
| 126404861 | 12640486 | 25 | C | FISH OIL | FISH OIL | 1 | 1200 MG, BID | U | 0 | 1200 | MG | GEL | BID | ||||||
| 126404861 | 12640486 | 26 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | 400 MG, TID | U | 0 | 400 | MG | TID | |||||||
| 126404861 | 12640486 | 27 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | 10 MG, QD | U | 0 | 10 | MG | QD | |||||||
| 126404861 | 12640486 | 28 | C | ALLEGRA-D | FEXOFENADINEPSEUDOEPHEDRINE | 1 | UNK, BID | U | 0 | BID | |||||||||
| 126404861 | 12640486 | 29 | C | STOOL SOFTENER | DOCUSATE CALCIUM | 1 | 200 MG, BID | U | 0 | 200 | MG | BID | |||||||
| 126404861 | 12640486 | 30 | C | ATERAX | HYDROXYZINE HYDROCHLORIDE | 1 | 50 MG, UNK | U | 0 | 50 | MG | ||||||||
| 126404861 | 12640486 | 31 | C | LIDOCAINE. | LIDOCAINE | 1 | Unknown | UNK | U | 0 | PATCH | ||||||||
| 126404861 | 12640486 | 32 | C | GAMMAGARD | HUMAN IMMUNOGLOBULIN G | 1 | Unknown | UNK | U | 0 | |||||||||
| 126404861 | 12640486 | 33 | C | MULTIPLE VITAMINS | VITAMINS | 1 | UNK, BID | U | 0 | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126404861 | 12640486 | 1 | Product used for unknown indication |
| 126404861 | 12640486 | 2 | Product used for unknown indication |
| 126404861 | 12640486 | 3 | Product used for unknown indication |
| 126404861 | 12640486 | 4 | Product used for unknown indication |
| 126404861 | 12640486 | 5 | Arthralgia |
| 126404861 | 12640486 | 7 | Thyroid disorder |
| 126404861 | 12640486 | 8 | Headache |
| 126404861 | 12640486 | 10 | Thyroid disorder |
| 126404861 | 12640486 | 12 | Sleep disorder |
| 126404861 | 12640486 | 13 | Myalgia |
| 126404861 | 12640486 | 15 | Depression |
| 126404861 | 12640486 | 16 | Asthma |
| 126404861 | 12640486 | 17 | Asthma |
| 126404861 | 12640486 | 27 | Asthma |
| 126404861 | 12640486 | 30 | Pruritus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126404861 | 12640486 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126404861 | 12640486 | Drug ineffective | |
| 126404861 | 12640486 | Pneumonia aspiration | |
| 126404861 | 12640486 | Vomiting |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |