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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126650661 | 12665066 | 1 | I | 2015 | 20151026 | 20160818 | 20160818 | PER | US-BAUSCH-BL-2015-025517 | BAUSCH AND LOMB | 46.90 | YR | F | Y | 147.00000 | KG | 20160818 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126650661 | 12665066 | 1 | PS | ZEGERID | OMEPRAZOLESODIUM BICARBONATE | 1 | Unknown | 21849 | 20 | MG | CAPSULE | QD | |||||||
| 126650661 | 12665066 | 2 | SS | XELJANZ | TOFACITINIB CITRATE | 1 | Unknown | Y | L98309 | 0 | 5 | MG | TABLET | BID | |||||
| 126650661 | 12665066 | 3 | SS | SUCRALFATE. | SUCRALFATE | 1 | Oral | Y | 0 | 1 | G | TABLET | TID | ||||||
| 126650661 | 12665066 | 4 | SS | SUCRALFATE. | SUCRALFATE | 1 | Y | 0 | |||||||||||
| 126650661 | 12665066 | 5 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 10 | MG | TABLET | QD | |||||||
| 126650661 | 12665066 | 6 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | 0 | 20 | MG | CAPSULE | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126650661 | 12665066 | 1 | Gastrooesophageal reflux disease |
| 126650661 | 12665066 | 2 | Rheumatoid arthritis |
| 126650661 | 12665066 | 3 | Abdominal discomfort |
| 126650661 | 12665066 | 4 | Nausea |
| 126650661 | 12665066 | 5 | Product used for unknown indication |
| 126650661 | 12665066 | 6 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126650661 | 12665066 | Abdominal discomfort | |
| 126650661 | 12665066 | Arthritis | |
| 126650661 | 12665066 | Device damage | |
| 126650661 | 12665066 | Drug dose omission | |
| 126650661 | 12665066 | Drug effect decreased |
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 |
|---|---|---|---|---|---|---|
| 126650661 | 12665066 | 1 | 201007 | 0 | ||
| 126650661 | 12665066 | 2 | 201411 | 20151013 | 0 | |
| 126650661 | 12665066 | 3 | 201507 | 201508 | 0 |