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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126628872 | 12662887 | 2 | F | 20160920 | 20160818 | 20160922 | EXP | US-009507513-1608USA008450 | MERCK | 0.00 | M | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126628872 | 12662887 | 1 | PS | PROVENTIL | ALBUTEROL | 1 | Oral | UNK | 20503 | INHALATION POWDER | |||||||||
| 126628872 | 12662887 | 2 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 3 | C | COUMADIN | WARFARIN SODIUM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 4 | C | DEXAMETHASONE. | DEXAMETHASONE | 1 | 0 | TABLET | |||||||||||
| 126628872 | 12662887 | 5 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 6 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 7 | C | ONDANSETRON HYDROCHLORIDE. | ONDANSETRON HYDROCHLORIDE | 1 | 0 | INJECTION | |||||||||||
| 126628872 | 12662887 | 8 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 9 | C | PROCHLORPERAZINE MALEATE. | PROCHLORPERAZINE MALEATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 10 | C | WARFARIN | WARFARIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 11 | C | AMIODARONE HYDROCHLORIDE. | AMIODARONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 12 | C | ASPIR-81 | ASPIRIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 13 | C | ATORVASTATIN CALCIUM. | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 14 | C | CARBOXYMETHYLCELLULOSE SODIUM. | CARBOXYMETHYLCELLULOSE SODIUM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 15 | C | DUONEB | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 16 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 17 | C | ISOSORBIDE MONONITRATE. | ISOSORBIDE MONONITRATE | 1 | 0 | PROLONGED-RELEASE TABLET | |||||||||||
| 126628872 | 12662887 | 18 | C | COZAAR | LOSARTAN POTASSIUM | 1 | 0 | TABLET | |||||||||||
| 126628872 | 12662887 | 19 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 20 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 21 | C | TAPAZOLE | METHIMAZOLE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 22 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 23 | C | ALOXI | PALONOSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 24 | C | AUGMENTIN | AMOXICILLINCLAVULANATE POTASSIUM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 25 | C | AVASTIN (simvastatin) | SIMVASTATIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 26 | C | BEVACIZUMAB | BEVACIZUMAB | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 27 | C | CARBOPLATIN. | CARBOPLATIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 28 | C | CYANOCOBALAMIN. | CYANOCOBALAMIN | 1 | 0 | INJECTION | |||||||||||
| 126628872 | 12662887 | 29 | C | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 30 | C | FAMOTIDINE. | FAMOTIDINE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 31 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 32 | C | INFLUENZA VIRUS VACCINE (UNSPECIFIED) | INFLUENZA VIRUS VACCINE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 33 | C | LEVAQUIN | LEVOFLOXACIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 34 | C | LORAZEPAM. | LORAZEPAM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 35 | C | MEDROL | METHYLPREDNISOLONE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 36 | C | PACLITAXEL. | PACLITAXEL | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 37 | C | PALONOSETRON HYDROCHLORIDE. | PALONOSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 38 | C | PEMETREXED DISODIUM | PEMETREXED DISODIUM | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 39 | C | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 40 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 41 | C | METHIMAZOLE. | METHIMAZOLE | 1 | 0 | TABLET | |||||||||||
| 126628872 | 12662887 | 42 | C | NIASPAN | NIACIN | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 43 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | 0 | ||||||||||||
| 126628872 | 12662887 | 44 | C | ZOCOR | SIMVASTATIN | 1 | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126628872 | 12662887 | 1 | Respiratory disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126628872 | 12662887 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126628872 | 12662887 | Lung neoplasm malignant | |
| 126628872 | 12662887 | Product use issue |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |