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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126803681 | 12680368 | 1 | I | 20160814 | 0 | 20160823 | 20160823 | DIR | 59.00 | YR | M | N | 139.40000 | KG | 20160816 | N | OT | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126803681 | 12680368 | 1 | PS | LISINOPRIL. | LISINOPRIL | 1 | Oral | Y | N | 0 | 5 | MG | QD | ||||||
126803681 | 12680368 | 2 | SS | ETODOLAC. | ETODOLAC | 1 | Oral | Y | D | 0 | 200 | MG | TID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126803681 | 12680368 | 1 | Hypertension |
126803681 | 12680368 | 2 | Pain |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126803681 | 12680368 | HO |
126803681 | 12680368 | RI |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126803681 | 12680368 | Acute kidney injury | |
126803681 | 12680368 | Confusional state | |
126803681 | 12680368 | Dehydration | |
126803681 | 12680368 | Hypotension |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
126803681 | 12680368 | HP |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
126803681 | 12680368 | 1 | 20111227 | 0 | ||
126803681 | 12680368 | 2 | 20160224 | 20160814 | 0 |