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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126654541 | 12665454 | 1 | I | 20160817 | 20160818 | 20160818 | EXP | US-GLAXOSMITHKLINE-US2016119401 | GLAXOSMITHKLINE | 50.00 | YR | F | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126654541 | 12665454 | 1 | PS | NICODERM CQ | NICOTINE | 1 | Transdermal | 21 MG, UNK | N | 6N016 | 20165 | 21 | MG | TRANSDERMAL PATCH | |||||
| 126654541 | 12665454 | 2 | SS | EQUATE NICOTINE | NICOTINE | 1 | Transdermal | 21 MG, UNK | N | UNK | 20165 | 21 | MG | TRANSDERMAL PATCH | |||||
| 126654541 | 12665454 | 3 | C | XANAX | ALPRAZOLAM | 1 | UNK | U | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126654541 | 12665454 | 1 | Drug withdrawal maintenance therapy |
| 126654541 | 12665454 | 2 | Nicotine dependence |
| 126654541 | 12665454 | 3 | Anxiety |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126654541 | 12665454 | Oropharyngeal pain | |
| 126654541 | 12665454 | Palpitations | |
| 126654541 | 12665454 | Panic attack |
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 |
|---|---|---|---|---|---|---|
| 126654541 | 12665454 | 1 | 201608 | 0 |