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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126651611 | 12665161 | 1 | I | 20150518 | 20160120 | 20160818 | 20160818 | PER | US-FRI-1000082344 | FOREST | 62.00 | YR | M | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126651611 | 12665161 | 1 | PS | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | 40 MG | 20822 | 20 | MG | BID | ||||||||
| 126651611 | 12665161 | 2 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 126651611 | 12665161 | 3 | C | K-TAB POTASSIUM | 2 | 0 | TABLET | ||||||||||||
| 126651611 | 12665161 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126651611 | 12665161 | 5 | C | NORVASC | AMLODIPINE BESYLATE | 1 | 0 | ||||||||||||
| 126651611 | 12665161 | 6 | C | AMIODARONE | AMIODARONE | 1 | 0 | ||||||||||||
| 126651611 | 12665161 | 7 | C | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | 0 | ||||||||||||
| 126651611 | 12665161 | 8 | C | INSULIN 70/30 | INSULIN HUMAN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126651611 | 12665161 | 1 | Diabetic neuropathy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126651611 | 12665161 | Drug screen positive | |
| 126651611 | 12665161 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126651611 | 12665161 | 1 | 20150518 | 0 |