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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126489301 | 12648930 | 1 | I | 20160810 | 20160812 | 20160812 | EXP | GB-MHRA-MIDB-8F2944C9-C089-4381-8861-4BB617795A1A | GB-ASTELLAS-2016US031102 | ASTELLAS | 90.00 | YR | F | Y | 0.00000 | 20160812 | OT | GB | GB |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126489301 | 12648930 | 1 | PS | Solifenacin | SOLIFENACIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | 21518 | FORMULATION UNKNOWN | |||||||||
126489301 | 12648930 | 2 | SS | Solifenacin | SOLIFENACIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 21518 | FORMULATION UNKNOWN | ||||||||
126489301 | 12648930 | 3 | SS | NITROFURANTOIN. | NITROFURANTOIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. 3 DAY COURSE | 0 | FORMULATION UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126489301 | 12648930 | 1 | Product used for unknown indication |
126489301 | 12648930 | 3 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126489301 | 12648930 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126489301 | 12648930 | Mouth ulceration | |
126489301 | 12648930 | Oral mucosal blistering | |
126489301 | 12648930 | Wrong technique in product usage process |
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 |
---|---|---|---|---|---|---|
126489301 | 12648930 | 3 | 20160717 | 20160720 | 0 |