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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126794481 | 12679448 | 1 | I | 0 | 20160823 | 20160823 | DIR | 77.00 | YR | M | N | 199.00000 | LBS | 20160822 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126794481 | 12679448 | 1 | PS | METOPROLOL. | METOPROLOL | 1 | Oral | 60 TABLET(S) TWICE A DAY TAKEN BY MOUTH | N | D | 0 | 60 | DF | COATED TABLET | BID | ||||
126794481 | 12679448 | 3 | C | AVAPRO | IRBESARTAN | 1 | 0 | ||||||||||||
126794481 | 12679448 | 5 | C | SIMVASTIN | SIMVASTATIN | 1 | 0 | ||||||||||||
126794481 | 12679448 | 7 | C | PROBIOTIC | PROBIOTICS NOS | 1 | 0 | ||||||||||||
126794481 | 12679448 | 9 | C | IRON PILL | IRON | 1 | 0 | ||||||||||||
126794481 | 12679448 | 11 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126794481 | 12679448 | 1 | Vascular graft |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126794481 | 12679448 | Asthenia | |
126794481 | 12679448 | Contusion | |
126794481 | 12679448 | Dizziness | |
126794481 | 12679448 | Fall | |
126794481 | 12679448 | Head injury | |
126794481 | 12679448 | Loss of consciousness | |
126794481 | 12679448 | Myalgia |
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 |
---|---|---|---|---|---|---|
126794481 | 12679448 | 1 | 20160507 | 20160822 | 0 |