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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126541971 | 12654197 | 1 | I | 20160328 | 0 | 20160815 | 20160815 | DIR | 53.00 | YR | F | N | 123.00000 | LBS | 20160812 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126541971 | 12654197 | 1 | PS | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | N | D | 0 | 50 | ML | 1X | ||||||
| 126541971 | 12654197 | 3 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 126541971 | 12654197 | 5 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 126541971 | 12654197 | 7 | C | MAGNESIUM MALATE | 2 | 0 | |||||||||||||
| 126541971 | 12654197 | 9 | C | CALCIUM CITRATE | CALCIUM CITRATE | 1 | 0 | ||||||||||||
| 126541971 | 12654197 | 11 | C | OMEGA FATTY ACIDS | 2 | 0 | |||||||||||||
| 126541971 | 12654197 | 13 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 | ||||||||||||
| 126541971 | 12654197 | 15 | C | BROMELAIN | BROMELAINS | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126541971 | 12654197 | 1 | Nausea |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126541971 | 12654197 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126541971 | 12654197 | Asthenia | |
| 126541971 | 12654197 | Dysarthria | |
| 126541971 | 12654197 | Fear of death | |
| 126541971 | 12654197 | Heart rate increased | |
| 126541971 | 12654197 | Muscular weakness | |
| 126541971 | 12654197 | Presyncope |
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 |
|---|---|---|---|---|---|---|
| 126541971 | 12654197 | 1 | 20160328 | 20160328 | 0 |