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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126790661 | 12679066 | 1 | I | 201601 | 20160808 | 20160824 | 20160824 | PER | US-009507513-1608USA004995 | MERCK | 50.02 | YR | F | Y | 0.00000 | 20160824 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126790661 | 12679066 | 1 | PS | PRINIVIL | LISINOPRIL | 1 | Oral | 10 MG (1 TABLET) EVERY DAY | 19558 | 10 | MG | TABLET | QD | ||||||
| 126790661 | 12679066 | 2 | SS | PRINIVIL | LISINOPRIL | 1 | Oral | 5 MG DAILY | 19558 | 5 | MG | TABLET | QD | ||||||
| 126790661 | 12679066 | 3 | C | PREDNISONE. | PREDNISONE | 1 | Oral | 10 MG/DAY/ 5 MG NEXT | 0 | TABLET | |||||||||
| 126790661 | 12679066 | 4 | C | WELLBUTRIN SR | BUPROPION HYDROCHLORIDE | 1 | Oral | 150 MG (1 TABLET) DAILY FOR 3 DAYS, THEN 1 TABLET TWICE DAILY | 0 | 150 | MG | PROLONGED-RELEASE TABLET | |||||||
| 126790661 | 12679066 | 5 | C | PRISTIQ EXTENDED-RELEASE | DESVENLAFAXINE SUCCINATE | 1 | Oral | 50 MG (1 TABLET) DAILY | 0 | 50 | MG | PROLONGED-RELEASE TABLET | QD | ||||||
| 126790661 | 12679066 | 6 | C | KLONOPIN | CLONAZEPAM | 1 | Oral | 0.5 MG (1 TABLET), EVERY 8 HOURS | 0 | .5 | MG | TABLET | Q8H | ||||||
| 126790661 | 12679066 | 7 | C | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | Oral | 30 MG- 1 AM/1 PM | 0 | 30 | MG | CAPSULE | BID | ||||||
| 126790661 | 12679066 | 8 | C | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | Oral | FORMULATION: TABLET | 0 | CAPSULE | |||||||||
| 126790661 | 12679066 | 9 | C | BACTRIM DS | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Oral | 1 DF, QD | 0 | 1 | DF | TABLET | QD | ||||||
| 126790661 | 12679066 | 10 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Oral | 40 MG (1 TABLET) DAILY | 0 | 40 | MG | PROLONGED-RELEASE TABLET | QD | ||||||
| 126790661 | 12679066 | 11 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Oral | 25 MG (1 TABLET) EVERY 6 HOURS AS NEEDED | 0 | TABLET | |||||||||
| 126790661 | 12679066 | 12 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Oral | 25 MG (1 TABLET) EVERY 4 TO 6 HOURS AS NEEDED | 0 | TABLET | |||||||||
| 126790661 | 12679066 | 13 | C | BONVIVA | IBANDRONATE SODIUM | 1 | Oral | 150 MG (1 TABLET) ONCE MONTHLY | 0 | 150 | MG | TABLET | /month | ||||||
| 126790661 | 12679066 | 14 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 2 PUFFS 1X DAILY | 0 | 2 | DF | QD | ||||||||
| 126790661 | 12679066 | 15 | C | FENTANYL. | FENTANYL | 1 | 1 PATCH EVERY 72 HOURS | 0 | 1 | DF | TRANSDERMAL PATCH | ||||||||
| 126790661 | 12679066 | 16 | C | XARELTO | RIVAROXABAN | 1 | Oral | 20 MG (1) IN AM | 0 | 20 | MG | QD | |||||||
| 126790661 | 12679066 | 17 | C | MACRODANTIN | NITROFURANTOIN | 1 | Oral | 100 MG (1 TABLET) TWICE A DAY | 0 | 100 | MG | CAPSULE | BID | ||||||
| 126790661 | 12679066 | 18 | C | calcium (unspecified) (+) vitamin D (unspecified) | CALCIUM CARBONATEVITAMIN D | 1 | Oral | UNK | 0 | TABLET | |||||||||
| 126790661 | 12679066 | 19 | C | VITAMINS (UNSPECIFIED) | VITAMINS | 1 | Oral | UNK | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126790661 | 12679066 | 1 | Hypertension |
| 126790661 | 12679066 | 4 | Depression |
| 126790661 | 12679066 | 5 | Depression |
| 126790661 | 12679066 | 6 | Anxiety disorder |
| 126790661 | 12679066 | 10 | Gastrooesophageal reflux disease |
| 126790661 | 12679066 | 11 | Nausea |
| 126790661 | 12679066 | 13 | Osteoporosis |
| 126790661 | 12679066 | 17 | Urinary tract infection |
| 126790661 | 12679066 | 18 | Routine health maintenance |
| 126790661 | 12679066 | 19 | Routine health maintenance |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126790661 | 12679066 | Blood potassium increased |
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 |
|---|---|---|---|---|---|---|
| 126790661 | 12679066 | 1 | 20120329 | 201601 | 0 | |
| 126790661 | 12679066 | 2 | 201601 | 0 | ||
| 126790661 | 12679066 | 4 | 20120629 | 0 | ||
| 126790661 | 12679066 | 5 | 20130401 | 0 | ||
| 126790661 | 12679066 | 6 | 20150225 | 0 | ||
| 126790661 | 12679066 | 10 | 20130926 | 0 | ||
| 126790661 | 12679066 | 11 | 20150619 | 20151019 | 0 | |
| 126790661 | 12679066 | 12 | 20151020 | 0 | ||
| 126790661 | 12679066 | 13 | 20100709 | 0 | ||
| 126790661 | 12679066 | 17 | 20160113 | 0 |