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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126829051 | 12682905 | 1 | I | 20160805 | 0 | 20160824 | 20160824 | DIR | 71.00 | YR | F | N | 175.00000 | LBS | 20160823 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126829051 | 12682905 | 1 | PS | METHADONE HCL 10 MG, 10 MG | METHADONE HYDROCHLORIDE | 1 | Oral | 224 TABLET(S) 3 AM, 2 PM, 3 BEDT TAKEN BY MOUTH | 0 | 224 | DF | COATED TABLET | TID | ||||||
| 126829051 | 12682905 | 3 | C | DIOVAN | VALSARTAN | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 4 | C | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 6 | C | KLOR-CON | POTASSIUM CHLORIDE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 8 | C | DIGOX | DIGOXIN | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 10 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 12 | C | METHADONE HCL | METHADONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 14 | C | CALTRATE | CALCIUM CARBONATE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 16 | C | OXYCODONE | OXYCODONE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 18 | C | POTASSIUM CL ER | POTASSIUM CHLORIDE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 20 | C | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 22 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 24 | C | ELIQUIS | APIXABAN | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 26 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 28 | C | MULTIVITAMIN/MULTIMINERAL | MINERALSVITAMINS | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 30 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 32 | C | ST. JOHN'S WORT | ST. JOHN'S WORT | 1 | 0 | ||||||||||||
| 126829051 | 12682905 | 34 | C | OMEGA-3 KRILL OIL | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126829051 | 12682905 | 1 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126829051 | 12682905 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126829051 | 12682905 | Drug effect decreased | |
| 126829051 | 12682905 | Product substitution issue |
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 |
|---|---|---|---|---|---|---|
| 126829051 | 12682905 | 1 | 20160801 | 0 |