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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126632271 | 12663227 | 1 | I | 20160518 | 0 | 20160817 | 20160817 | DIR | 21.00 | YR | F | N | 125.00000 | LBS | 20160816 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126632271 | 12663227 | 1 | PS | EPINEPHRINE. | EPINEPHRINE | 1 | N | D | 0 | ||||||||||
| 126632271 | 12663227 | 2 | C | GENERESS FE | ETHINYL ESTRADIOLFERROUS FUMARATENORETHINDRONE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126632271 | 12663227 | 1 | Food allergy |
| 126632271 | 12663227 | 1 | Throat irritation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126632271 | 12663227 | OT |
| 126632271 | 12663227 | DS |
| 126632271 | 12663227 | HO |
| 126632271 | 12663227 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126632271 | 12663227 | Anxiety | |
| 126632271 | 12663227 | Apparent death | |
| 126632271 | 12663227 | Blindness | |
| 126632271 | 12663227 | Deafness | |
| 126632271 | 12663227 | Myocardial infarction | |
| 126632271 | 12663227 | Nausea | |
| 126632271 | 12663227 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 126632271 | 12663227 | 1 | 20160518 | 20160518 | 0 |