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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126441701 | 12644170 | 1 | I | 20160804 | 20160811 | 20160811 | EXP | US-GLAXOSMITHKLINE-US2016GSK114010 | GLAXOSMITHKLINE | 0.00 | F | Y | 0.00000 | 20160811 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126441701 | 12644170 | 1 | PS | LAMICTAL | LAMOTRIGINE | 1 | U | 20241 | TABLET | ||||||||||
| 126441701 | 12644170 | 2 | SS | DILANTIN | PHENYTOIN | 1 | 0 | ||||||||||||
| 126441701 | 12644170 | 3 | SS | KEPPRA | LEVETIRACETAM | 1 | 100 MG, UNK | U | 0 | 100 | MG | ||||||||
| 126441701 | 12644170 | 4 | SS | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | U | 0 | |||||||||||
| 126441701 | 12644170 | 5 | SS | KLONOPIN | CLONAZEPAM | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126441701 | 12644170 | 1 | Product used for unknown indication |
| 126441701 | 12644170 | 3 | Product used for unknown indication |
| 126441701 | 12644170 | 4 | Product used for unknown indication |
| 126441701 | 12644170 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126441701 | 12644170 | HO |
| 126441701 | 12644170 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126441701 | 12644170 | Coma | |
| 126441701 | 12644170 | Generalised tonic-clonic seizure | |
| 126441701 | 12644170 | Hospitalisation | |
| 126441701 | 12644170 | Road traffic accident | |
| 126441701 | 12644170 | Seizure |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |