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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126822631 | 12682263 | 1 | I | 20160817 | 20160824 | 20160824 | EXP | PHHY2016CH115602 | SANDOZ | 68.00 | YR | F | Y | 0.00000 | 20160825 | OT | CH | CH |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126822631 | 12682263 | 1 | PS | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | Oral | 250 MG/3X PER WEEK | U | 65209 | 250 | MG | |||||||
| 126822631 | 12682263 | 2 | I | CIPROFLOXACIN. | CIPROFLOXACIN | 1 | Oral | 500 MG, QD | U | 0 | 500 | MG | QD | ||||||
| 126822631 | 12682263 | 3 | I | CITALOPRAM | CITALOPRAM HYDROBROMIDE | 1 | Oral | 10 MG, QD | U | 0 | 10 | MG | QD | ||||||
| 126822631 | 12682263 | 4 | I | DOMPERIDONE | DOMPERIDONE | 1 | Oral | 30 MG, QD | U | 0 | 30 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126822631 | 12682263 | 1 | Product used for unknown indication |
| 126822631 | 12682263 | 2 | Product used for unknown indication |
| 126822631 | 12682263 | 3 | Product used for unknown indication |
| 126822631 | 12682263 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126822631 | 12682263 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126822631 | 12682263 | Cardiomyopathy | |
| 126822631 | 12682263 | Drug interaction | |
| 126822631 | 12682263 | Electrocardiogram QT prolonged |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |