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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126548311 | 12654831 | 1 | I | 20160808 | 20160816 | 20160816 | EXP | NO-GLAXOSMITHKLINE-NO2016114504 | GLAXOSMITHKLINE | 18.00 | YR | F | Y | 0.00000 | 20160816 | OT | NO | NO |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126548311 | 12654831 | 1 | PS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Unknown | UNK | U | 18703 | |||||||||
| 126548311 | 12654831 | 2 | SS | INTERFERON GAMMA-1B | INTERFERON GAMMA-1B | 1 | Subcutaneous | , FORMULATION: INJECTION, DOSAGES WERE GRADUALLY INCREASED FROM 10 MCG UP TO 100 MCG OVER UNK UNK, Z | U | 0 | |||||||||
| 126548311 | 12654831 | 3 | C | IDEBENONE | IDEBENONE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126548311 | 12654831 | 4 | C | METOPROLOL. | METOPROLOL | 1 | Unknown | UNK | U | 0 | |||||||||
| 126548311 | 12654831 | 5 | C | ESOMEPRAZOLE | ESOMEPRAZOLE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126548311 | 12654831 | 6 | C | IVABRADINE | IVABRADINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126548311 | 12654831 | 7 | C | DISOPYRAMIDE | DISOPYRAMIDE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126548311 | 12654831 | 8 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | Intracardiac | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126548311 | 12654831 | 1 | Product used for unknown indication |
| 126548311 | 12654831 | 2 | Cardiomyopathy |
| 126548311 | 12654831 | 3 | Product used for unknown indication |
| 126548311 | 12654831 | 4 | Product used for unknown indication |
| 126548311 | 12654831 | 5 | Product used for unknown indication |
| 126548311 | 12654831 | 6 | Product used for unknown indication |
| 126548311 | 12654831 | 7 | Product used for unknown indication |
| 126548311 | 12654831 | 8 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126548311 | 12654831 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126548311 | 12654831 | Chest pain | |
| 126548311 | 12654831 | Dehydration | |
| 126548311 | 12654831 | Malaise | |
| 126548311 | 12654831 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 126548311 | 12654831 | 2 | 201410 | 0 |