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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126754391 | 12675439 | 1 | I | 20160818 | 20160823 | 20160823 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-068608 | BRISTOL MYERS SQUIBB | 0.00 | M | Y | 0.00000 | 20160823 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126754391 | 12675439 | 1 | PS | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Unknown | U | 19898 | TABLET | |||||||||
| 126754391 | 12675439 | 2 | SS | LYRICA | PREGABALIN | 1 | Oral | 25 MG, UNK | U | 0 | 25 | MG | |||||||
| 126754391 | 12675439 | 3 | SS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Unknown | 10 MG, UNK | U | 0 | 10 | MG | |||||||
| 126754391 | 12675439 | 4 | SS | NITROSTAT | NITROGLYCERIN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126754391 | 12675439 | 5 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Oral | 10 MG, QD | U | 0 | 10 | MG | QD | ||||||
| 126754391 | 12675439 | 6 | C | ASMANEX | MOMETASONE FUROATE | 1 | Unknown | 220 ?G, UNK | U | 0 | 220 | UG | |||||||
| 126754391 | 12675439 | 7 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | 81 MG, UNK | U | 0 | 81 | MG | |||||||
| 126754391 | 12675439 | 8 | C | ATENOLOL. | ATENOLOL | 1 | Oral | 50 MG, QD | U | 0 | 50 | MG | QD | ||||||
| 126754391 | 12675439 | 9 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | 20 MG, QD | U | 0 | 20 | MG | QD | ||||||
| 126754391 | 12675439 | 10 | C | BUSPIRONE | BUSPIRONE HYDROCHLORIDE | 1 | Unknown | 5 MG, BID | U | 0 | 5 | MG | BID | ||||||
| 126754391 | 12675439 | 11 | C | DONEPEZIL. | DONEPEZIL | 1 | Unknown | U | 0 | ||||||||||
| 126754391 | 12675439 | 12 | C | FISH OIL | FISH OIL | 1 | Unknown | 1000 MG, UNK | U | 0 | 1000 | MG | |||||||
| 126754391 | 12675439 | 13 | C | FLUTICASONE | FLUTICASONEFLUTICASONE PROPIONATE | 1 | Unknown | 50 ?G, UNK | U | 0 | 50 | UG | |||||||
| 126754391 | 12675439 | 14 | C | LOSARTAN. | LOSARTAN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126754391 | 12675439 | 15 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | Oral | 10 MG, UNK | U | 0 | 10 | MG | |||||||
| 126754391 | 12675439 | 16 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 25 MG, UNK | U | 0 | 25 | MG | |||||||
| 126754391 | 12675439 | 17 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | 75 MG, UNK | U | 0 | 75 | MG | |||||||
| 126754391 | 12675439 | 18 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Unknown | 1 G, UNK | U | 0 | 1 | G | |||||||
| 126754391 | 12675439 | 19 | C | AEROSOL SPITZNER | 2 | Unknown | 2 UNK, UNK | U | 0 | ||||||||||
| 126754391 | 12675439 | 20 | C | VENLAFAXINE | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 75 MG, UNK | U | 0 | 75 | MG | |||||||
| 126754391 | 12675439 | 21 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Oral | 1 TAB, UNK | U | 0 | 1 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126754391 | 12675439 | 1 | Product used for unknown indication |
| 126754391 | 12675439 | 2 | Product used for unknown indication |
| 126754391 | 12675439 | 3 | Product used for unknown indication |
| 126754391 | 12675439 | 4 | Product used for unknown indication |
| 126754391 | 12675439 | 5 | Product used for unknown indication |
| 126754391 | 12675439 | 6 | Product used for unknown indication |
| 126754391 | 12675439 | 7 | Product used for unknown indication |
| 126754391 | 12675439 | 8 | Product used for unknown indication |
| 126754391 | 12675439 | 9 | Product used for unknown indication |
| 126754391 | 12675439 | 10 | Product used for unknown indication |
| 126754391 | 12675439 | 11 | Product used for unknown indication |
| 126754391 | 12675439 | 12 | Product used for unknown indication |
| 126754391 | 12675439 | 13 | Product used for unknown indication |
| 126754391 | 12675439 | 14 | Product used for unknown indication |
| 126754391 | 12675439 | 15 | Product used for unknown indication |
| 126754391 | 12675439 | 16 | Product used for unknown indication |
| 126754391 | 12675439 | 17 | Product used for unknown indication |
| 126754391 | 12675439 | 18 | Product used for unknown indication |
| 126754391 | 12675439 | 19 | Product used for unknown indication |
| 126754391 | 12675439 | 20 | Product used for unknown indication |
| 126754391 | 12675439 | 21 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126754391 | 12675439 | Hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 126754391 | 12675439 | 2 | 20160713 | 0 | ||
| 126754391 | 12675439 | 4 | 20110804 | 0 | ||
| 126754391 | 12675439 | 5 | 20120627 | 0 | ||
| 126754391 | 12675439 | 6 | 20160502 | 0 | ||
| 126754391 | 12675439 | 7 | 20131119 | 0 | ||
| 126754391 | 12675439 | 8 | 20120618 | 0 | ||
| 126754391 | 12675439 | 9 | 20130502 | 0 | ||
| 126754391 | 12675439 | 10 | 20160208 | 0 | ||
| 126754391 | 12675439 | 12 | 20120607 | 0 | ||
| 126754391 | 12675439 | 13 | 20160419 | 0 | ||
| 126754391 | 12675439 | 14 | 20101228 | 0 | ||
| 126754391 | 12675439 | 16 | 20160713 | 0 | ||
| 126754391 | 12675439 | 17 | 20150727 | 0 | ||
| 126754391 | 12675439 | 18 | 20101101 | 0 | ||
| 126754391 | 12675439 | 19 | 20130513 | 0 | ||
| 126754391 | 12675439 | 20 | 20130502 | 0 | ||
| 126754391 | 12675439 | 21 | 20130221 | 0 |