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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861611 | 12686161 | 1 | I | 20150815 | 20151120 | 20160825 | 20160825 | PER | US-PERRIGO-15US012312 | PERRIGO | 0.00 | M | Y | 108.84000 | KG | 20160825 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861611 | 12686161 | 1 | PS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 1/2 LOZENGE, HOURLY, 11 TO 12 TIMES DAILY | U | 5KE1420 | 90711 | LOZENGE | |||||||
| 126861611 | 12686161 | 2 | C | CITALOPRAM | CITALOPRAM HYDROBROMIDE | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126861611 | 12686161 | 3 | C | ANTIHYPERTENSIVES | UNSPECIFIED INGREDIENT | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126861611 | 12686161 | 4 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126861611 | 12686161 | 5 | C | VITAMINS NOS | VITAMINS | 1 | Unknown | UNK | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126861611 | 12686161 | 1 | Tobacco user |
| 126861611 | 12686161 | 2 | Depression |
| 126861611 | 12686161 | 3 | Hypertension |
| 126861611 | 12686161 | 4 | Asthma |
| 126861611 | 12686161 | 5 | Supplementation therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126861611 | 12686161 | Nicotine dependence | |
| 126861611 | 12686161 | Off label use | |
| 126861611 | 12686161 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 126861611 | 12686161 | 1 | 20150815 | 0 |