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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126471931 | 12647193 | 1 | I | 20160808 | 0 | 20160811 | 20160811 | DIR | 96.00 | YR | M | N | 155.00000 | LBS | 20160811 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126471931 | 12647193 | 1 | PS | QUETIAPINE FUMARATE. | QUETIAPINE FUMARATE | 1 | Oral | 1 TABLET(S) AT BEDTIME TAKEN BY MOUTH | N | D | 10-1088 | 20160910 | 0 | 1 | DF | COATED TABLET | HS | ||
| 126471931 | 12647193 | 3 | C | WARFARIN | WARFARIN | 1 | 0 | ||||||||||||
| 126471931 | 12647193 | 5 | C | VALSARTIN | 2 | 0 | |||||||||||||
| 126471931 | 12647193 | 7 | C | CYANICO BALAMIN | 2 | 0 | |||||||||||||
| 126471931 | 12647193 | 9 | C | METOPROLOL SUCC | METOPROLOL SUCCINATE | 1 | 0 | ||||||||||||
| 126471931 | 12647193 | 11 | C | ECOTRIN | ASPIRIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126471931 | 12647193 | 1 | Abnormal dreams |
| 126471931 | 12647193 | 1 | Sleep disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126471931 | 12647193 | Balance disorder | |
| 126471931 | 12647193 | Disorientation | |
| 126471931 | 12647193 | Insomnia | |
| 126471931 | 12647193 | Thirst |
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 |
|---|---|---|---|---|---|---|
| 126471931 | 12647193 | 1 | 1 | DAY |