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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126709931 | 12670993 | 1 | I | 20160816 | 0 | 20160819 | 20160819 | DIR | 41.00 | YR | M | N | 170.00000 | LBS | 20160818 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126709931 | 12670993 | 1 | PS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | Y | D | 0 | 1 | DF | COATED TABLET | HS | |||||
126709931 | 12670993 | 3 | C | PREVACID | LANSOPRAZOLE | 1 | 0 | ||||||||||||
126709931 | 12670993 | 5 | C | ALBUTEROL PROAIR | 2 | 0 | |||||||||||||
126709931 | 12670993 | 7 | C | DULERA | FORMOTEROL FUMARATE DIHYDRATEMOMETASONE FUROATE | 1 | 0 | ||||||||||||
126709931 | 12670993 | 9 | C | LORATIDINE | LORATADINE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126709931 | 12670993 | 1 | Asthma |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126709931 | 12670993 | DS |
126709931 | 12670993 | LT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126709931 | 12670993 | Aggression | |
126709931 | 12670993 | Anxiety | |
126709931 | 12670993 | Insomnia | |
126709931 | 12670993 | Social avoidant behaviour | |
126709931 | 12670993 | Suicidal ideation | |
126709931 | 12670993 | Tachyphrenia |
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 |
---|---|---|---|---|---|---|
126709931 | 12670993 | 1 | 20160814 | 20160817 | 0 |