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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126693561 | 12669356 | 1 | I | 201512 | 20151215 | 20160819 | 20160819 | PER | US-BAUSCH-BL-2015-030226 | BAUSCH AND LOMB | 88.00 | YR | F | Y | 52.21000 | KG | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126693561 | 12669356 | 1 | PS | ZOVIRAX | ACYCLOVIR | 1 | Topical | APPLY FIVE TIMES A DAY FOR 4 DAYS | A4003 | 21478 | CREAM | ||||||||
| 126693561 | 12669356 | 2 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | 0 | |||||||||||
| 126693561 | 12669356 | 3 | C | PREMARIN | ESTROGENS, CONJUGATED | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126693561 | 12669356 | 1 | Genital herpes |
| 126693561 | 12669356 | 2 | Product used for unknown indication |
| 126693561 | 12669356 | 3 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126693561 | 12669356 | Condition aggravated | |
| 126693561 | 12669356 | Genital herpes | |
| 126693561 | 12669356 | Off label use | |
| 126693561 | 12669356 | Pain | |
| 126693561 | 12669356 | Therapeutic response 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 |
|---|---|---|---|---|---|---|
| 126693561 | 12669356 | 1 | 201512 | 0 |