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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126802051 | 12680205 | 1 | I | 201608 | 20160822 | 20160824 | 20160824 | EXP | FR-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-54807FF | BOEHRINGER INGELHEIM | 85.96 | YR | M | Y | 0.00000 | 20160824 | PH | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126802051 | 12680205 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 220 MG | 22512 | 110 | MG | CAPSULE | BID | ||||||
| 126802051 | 12680205 | 2 | C | CHIBROPROSCAR | 2 | Unknown | 5 MG | 0 | 5 | MG | QD | ||||||||
| 126802051 | 12680205 | 3 | C | TAMSULOSINE | TAMSULOSIN HYDROCHLORIDE | 1 | Unknown | 0.4 MG | 0 | .4 | MG | QD | |||||||
| 126802051 | 12680205 | 4 | C | BECOTIDE | BECLOMETHASONE DIPROPIONATE | 1 | Unknown | 0 | |||||||||||
| 126802051 | 12680205 | 5 | C | STILNOX | ZOLPIDEM TARTRATE | 1 | Unknown | 0.5 ANZ | 0 | TABLET | QD | ||||||||
| 126802051 | 12680205 | 6 | C | EBIXA | MEMANTINE HYDROCHLORIDE | 1 | Unknown | 20 MG | 0 | 20 | MG | QD | |||||||
| 126802051 | 12680205 | 7 | C | TIAPRIDAL | TIAPRIDE HYDROCHLORIDE | 1 | Unknown | 2 ANZ | 0 | BID | |||||||||
| 126802051 | 12680205 | 8 | C | DOLIPRANE | ACETAMINOPHEN | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126802051 | 12680205 | 1 | Product used for unknown indication |
| 126802051 | 12680205 | 2 | Product used for unknown indication |
| 126802051 | 12680205 | 3 | Product used for unknown indication |
| 126802051 | 12680205 | 4 | Product used for unknown indication |
| 126802051 | 12680205 | 5 | Product used for unknown indication |
| 126802051 | 12680205 | 6 | Product used for unknown indication |
| 126802051 | 12680205 | 7 | Product used for unknown indication |
| 126802051 | 12680205 | 8 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126802051 | 12680205 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126802051 | 12680205 | Death | |
| 126802051 | 12680205 | Mouth haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 126802051 | 12680205 | 1 | 20120825 | 0 |