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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126817971 | 12681797 | 1 | I | 20160413 | 20160810 | 20160824 | 20160824 | EXP | FR-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-066759 | BRISTOL MYERS SQUIBB | 88.08 | YR | M | Y | 0.00000 | 20160824 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126817971 | 12681797 | 1 | PS | COUMADINE | WARFARIN SODIUM | 1 | Oral | 1 DF, QD | Y | 9218 | 1 | DF | TABLET | QD | |||||
| 126817971 | 12681797 | 2 | C | NORSET | MIRTAZAPINE | 1 | Unknown | 15 MG, QD | U | 0 | 15 | MG | TABLET | QD | |||||
| 126817971 | 12681797 | 3 | C | CASODEX | BICALUTAMIDE | 1 | Unknown | U | 0 | ||||||||||
| 126817971 | 12681797 | 4 | C | SERESTA | OXAZEPAM | 1 | Unknown | U | 0 | ||||||||||
| 126817971 | 12681797 | 5 | C | MOVICOL | POLYETHYLENE GLYCOL 3350POTASSIUM CHLORIDESODIUM BICARBONATESODIUM CHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 126817971 | 12681797 | 6 | C | FOLIC ACID. | FOLIC ACID | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126817971 | 12681797 | 1 | Product used for unknown indication |
| 126817971 | 12681797 | 2 | Product used for unknown indication |
| 126817971 | 12681797 | 3 | Product used for unknown indication |
| 126817971 | 12681797 | 4 | Product used for unknown indication |
| 126817971 | 12681797 | 5 | Product used for unknown indication |
| 126817971 | 12681797 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126817971 | 12681797 | OT |
| 126817971 | 12681797 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126817971 | 12681797 | Fall | |
| 126817971 | 12681797 | Product use issue | |
| 126817971 | 12681797 | Subdural haematoma |
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 |
|---|---|---|---|---|---|---|
| 126817971 | 12681797 | 1 | 20160413 | 0 |