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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126482421 | 12648242 | 1 | I | 20160714 | 20160812 | 20160812 | PER | US-009507513-1607USA006326 | MERCK | 0.00 | M | Y | 0.00000 | 20160812 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126482421 | 12648242 | 1 | PS | PRINIVIL | LISINOPRIL | 1 | Oral | REFILL, 100 MG TABLET 1 TABLET ONCE A DAY, 90 DAYS, 90, REFILLS 5 | U | 19558 | 100 | MG | TABLET | QD | |||||
| 126482421 | 12648242 | 2 | C | COUMADIN | WARFARIN SODIUM | 1 | 4 MG, QD | 0 | 4 | MG | TABLET | QD | |||||||
| 126482421 | 12648242 | 3 | C | ZOCOR | SIMVASTATIN | 1 | 10 MG, IN THE EVENING ONCE A DAY | 0 | 10 | MG | TABLET | ||||||||
| 126482421 | 12648242 | 4 | C | APAP EXTRA | 2 | 500 MG, 1 TABLET AS NEEDED EVERY 6 HRS | 0 | 500 | MG | TABLET | |||||||||
| 126482421 | 12648242 | 5 | C | CARVEDILOL. | CARVEDILOL | 1 | 25 MG TABLET 1 TABLET WITH FOOD TWICE A DAY | 0 | 25 | MG | TABLET | BID | |||||||
| 126482421 | 12648242 | 6 | C | VALACYCLOVIR HYDROCHLORIDE. | VALACYCLOVIR HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126482421 | 12648242 | 7 | C | METHOTREXATE. | METHOTREXATE | 1 | 2.5 MG TABLET 7 TABLETS ONCE A WEEK | 0 | TABLET | ||||||||||
| 126482421 | 12648242 | 8 | C | FOLIC ACID. | FOLIC ACID | 1 | 1 MG TABLET 1 TABLET ONCE A DAY | 0 | 1 | MG | TABLET | QD | |||||||
| 126482421 | 12648242 | 9 | C | XARELTO | RIVAROXABAN | 1 | 20 MG TABLET 1 TABLET WITH FOOD ONCE A DAY | 0 | 20 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126482421 | 12648242 | 1 | Chronic left ventricular failure |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126482421 | 12648242 | Cough |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |