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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126747741 | 12674774 | 1 | I | 20160816 | 20160817 | 20160822 | 20160822 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-54191BI | BOEHRINGER INGELHEIM | 61.13 | YR | M | Y | 121.00000 | KG | 20160822 | MD | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126747741 | 12674774 | 1 | PS | WARFARIN | WARFARIN | 1 | Oral | 5 MG | N | 22512 | 5 | MG | CAPSULE | QD | |||||
| 126747741 | 12674774 | 2 | SS | WARFARIN | WARFARIN | 1 | N | 22512 | |||||||||||
| 126747741 | 12674774 | 3 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | 0 | |||||||||||
| 126747741 | 12674774 | 4 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | 75 MG | 0 | 75 | MG | QD | |||||||
| 126747741 | 12674774 | 5 | C | ANGIOMAX | BIVALIRUDIN | 1 | Other | ROUTE: INFUSION; DAILY DOSE/DOSE PER APP: 93/75MG | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126747741 | 12674774 | 1 | Atrial fibrillation |
| 126747741 | 12674774 | 2 | Coronary artery disease |
| 126747741 | 12674774 | 3 | Coronary artery disease |
| 126747741 | 12674774 | 4 | Coronary artery disease |
| 126747741 | 12674774 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126747741 | 12674774 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126747741 | 12674774 | Anaemia | |
| 126747741 | 12674774 | Cardiac failure congestive | |
| 126747741 | 12674774 | Dyspnoea |
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 |
|---|---|---|---|---|---|---|
| 126747741 | 12674774 | 1 | 20160816 | 0 | ||
| 126747741 | 12674774 | 3 | 20160608 | 0 | ||
| 126747741 | 12674774 | 4 | 20160505 | 20160817 | 0 | |
| 126747741 | 12674774 | 5 | 20160505 | 20160505 | 0 |