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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126797921 | 12679792 | 1 | I | 0 | 20160823 | 20160823 | DIR | 78.00 | YR | M | N | 260.00000 | LBS | 20160729 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126797921 | 12679792 | 1 | PS | LYRICA | PREGABALIN | 1 | Oral | N | D | 20170706 | 0 | 50 | MG | BID | |||||
| 126797921 | 12679792 | 3 | C | MULTI-VITAMIN | .ALPHA.-TOCOPHEROL ACETATE, DL-ASCORBIC ACIDCYANOCOBALAMINFLUORIDE IONFOLIC ACIDNIACINPYRIDOXINERIBOFLAVINTHIAMINEVITAMIN AVITAMIN D | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 5 | C | WARFARIN SODIUM. | WARFARIN SODIUM | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 7 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 9 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 11 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 12 | SS | GEMFIBROZIL. | GEMFIBROZIL | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 14 | C | ENDOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126797921 | 12679792 | 16 | C | METFORMIN HCL | METFORMIN HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126797921 | 12679792 | 1 | Muscle spasms |
| 126797921 | 12679792 | 1 | Pain |
| 126797921 | 12679792 | 1 | Restless legs syndrome |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126797921 | 12679792 | OT |
| 126797921 | 12679792 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126797921 | 12679792 | Condition aggravated | |
| 126797921 | 12679792 | Discomfort | |
| 126797921 | 12679792 | Drug ineffective | |
| 126797921 | 12679792 | Insomnia | |
| 126797921 | 12679792 | Movement disorder | |
| 126797921 | 12679792 | Pain in extremity | |
| 126797921 | 12679792 | Restlessness | |
| 126797921 | 12679792 | Weight 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 |
|---|---|---|---|---|---|---|
| 126797921 | 12679792 | 1 | 20160706 | 20160716 | 0 |