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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126552971 | 12655297 | 1 | I | 2015 | 20151222 | 20160816 | 20160816 | PER | US-PERRIGO-15US013392 | PERRIGO | 56.00 | YR | M | Y | 124.72000 | KG | 20160816 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126552971 | 12655297 | 1 | PS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 4 MG, 20 TIMES QD | U | 5HE1470 | 90821 | LOZENGE | |||||||
| 126552971 | 12655297 | 2 | SS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 4 MG, GREATER THAN 20 TIMES IN 24 HOURS, SINGLE | U | 5HE1470 | 90821 | LOZENGE | |||||||
| 126552971 | 12655297 | 3 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Oral | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126552971 | 12655297 | 1 | Smoking cessation therapy |
| 126552971 | 12655297 | 3 | Gastric disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126552971 | 12655297 | Anxiety | |
| 126552971 | 12655297 | Blood glucose increased | |
| 126552971 | 12655297 | Drug ineffective | |
| 126552971 | 12655297 | Hyperhidrosis | |
| 126552971 | 12655297 | Nausea | |
| 126552971 | 12655297 | Nicotine dependence | |
| 126552971 | 12655297 | Overdose | |
| 126552971 | 12655297 | Palpitations | |
| 126552971 | 12655297 | Tremor | |
| 126552971 | 12655297 | Withdrawal syndrome |
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 |
|---|---|---|---|---|---|---|
| 126552971 | 12655297 | 1 | 20151223 | 0 | ||
| 126552971 | 12655297 | 2 | 2015 | 2015 | 0 | |
| 126552971 | 12655297 | 3 | 201510 | 0 |