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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126821201 | 12682120 | 1 | I | 20160105 | 20160219 | 20160824 | 20160824 | PER | US-JUBILANT HOLLISTERSTIER LLC-1056716 | JUBILANT | 11.00 | YR | F | Y | 0.00000 | 20160824 | OT | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126821201 | 12682120 | 1 | PS | MOLDS, RUSTS AND SMUTS, CANDIDA ALBICANS | CANDIDA ALBICANS | 1 | IRRIGATION | U | E1502044 09/13/2018 | 103888 | |||||||||
| 126821201 | 12682120 | 2 | SS | LIDOCAINE. | LIDOCAINE | 1 | IRRIGATION | 0 | |||||||||||
| 126821201 | 12682120 | 3 | C | CIMETIDINE | CIMETIDINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126821201 | 12682120 | 1 | Off label use |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126821201 | 12682120 | Erythema | |
| 126821201 | 12682120 | Skin exfoliation | |
| 126821201 | 12682120 | Swelling |
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 |
|---|---|---|---|---|---|---|
| 126821201 | 12682120 | 1 | 20160104 | 20160104 | 0 | |
| 126821201 | 12682120 | 2 | 20160104 | 20160104 | 0 |