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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126591981 | 12659198 | 1 | I | 20160321 | 20160323 | 20160817 | 20160817 | EXP | US-GLAXOSMITHKLINE-CHPA2016US003689 | GLAXOSMITHKLINE | 70.00 | YR | F | Y | 0.00000 | 20160817 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126591981 | 12659198 | 1 | PS | VOLTAREN | DICLOFENAC SODIUM | 1 | Topical | UNK, BID | N | U | W5523 | 22122 | GEL | BID | |||||
| 126591981 | 12659198 | 2 | C | CARBIDOPA + L-DOPA | CARBIDOPALEVODOPA | 1 | Oral | UNK | 0 | ||||||||||
| 126591981 | 12659198 | 3 | C | ATIVAN | LORAZEPAM | 1 | Oral | UNK | 0 | ||||||||||
| 126591981 | 12659198 | 4 | C | ATIVAN | LORAZEPAM | 1 | 0 | ||||||||||||
| 126591981 | 12659198 | 5 | C | ATIVAN | LORAZEPAM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126591981 | 12659198 | 1 | Polyneuropathy |
| 126591981 | 12659198 | 2 | Parkinson's disease |
| 126591981 | 12659198 | 4 | Anxiety |
| 126591981 | 12659198 | 5 | Panic attack |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126591981 | 12659198 | Hypotension | |
| 126591981 | 12659198 | Inappropriate schedule of drug administration | |
| 126591981 | 12659198 | Muscle rigidity | |
| 126591981 | 12659198 | Product use issue | |
| 126591981 | 12659198 | 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 |
|---|---|---|---|---|---|---|
| 126591981 | 12659198 | 1 | 20160321 | 20160322 | 0 |