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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861661 | 12686166 | 1 | I | 201509 | 20150914 | 20160825 | 20160825 | PER | US-PERRIGO-15US009619 | PERRIGO | 51.00 | YR | F | Y | 62.59000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861661 | 12686166 | 1 | PS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 2 MG, 5 TO 6 TIMES DAILY | U | 5GE1170 | 90711 | LOZENGE | |||||||
| 126861661 | 12686166 | 2 | SS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | BROKEN PIECES, 5 TO 6 TIMES DAILY | U | 5GE1170 | 90711 | LOZENGE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126861661 | 12686166 | 1 | Smoking cessation therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126861661 | 12686166 | No adverse event | |
| 126861661 | 12686166 | 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 |
|---|---|---|---|---|---|---|
| 126861661 | 12686166 | 1 | 2014 | 201509 | 0 | |
| 126861661 | 12686166 | 2 | 201509 | 201509 | 0 |