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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126742191 | 12674219 | 1 | I | 20160701 | 20160818 | 20160822 | 20160822 | EXP | US-GLAXOSMITHKLINE-US2016GSK120399 | GLAXOSMITHKLINE | 58.13 | YR | Y | 0.00000 | 20160822 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126742191 | 12674219 | 1 | PS | VALTREX | VALACYCLOVIR HYDROCHLORIDE | 1 | U | UNKNOWN | 20487 | ||||||||||
| 126742191 | 12674219 | 2 | I | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126742191 | 12674219 | 1 | Product used for unknown indication |
| 126742191 | 12674219 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126742191 | 12674219 | HO |
| 126742191 | 12674219 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126742191 | 12674219 | Back pain | |
| 126742191 | 12674219 | Dehydration | |
| 126742191 | 12674219 | Drug interaction | |
| 126742191 | 12674219 | Intestinal obstruction | |
| 126742191 | 12674219 | Migraine | |
| 126742191 | 12674219 | Pneumonia | |
| 126742191 | 12674219 | Urinary retention | |
| 126742191 | 12674219 | Vomiting |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |