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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861941 | 12686194 | 1 | I | 20160102 | 20160104 | 20160825 | 20160825 | PER | US-PERRIGO-16US000072 | PERRIGO | 52.26 | YR | M | Y | 79.37000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861941 | 12686194 | 1 | PS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 4 MG, SINGLE | Y | 4ME1166 | 90711 | 4 | MG | LOZENGE | |||||
| 126861941 | 12686194 | 2 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126861941 | 12686194 | 3 | C | CARTIA XT | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126861941 | 12686194 | 4 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | UNK | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126861941 | 12686194 | 1 | Smoking cessation therapy |
| 126861941 | 12686194 | 2 | Blood cholesterol increased |
| 126861941 | 12686194 | 3 | Hypertension |
| 126861941 | 12686194 | 4 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126861941 | 12686194 | Chest pain | |
| 126861941 | 12686194 | Oral discomfort |
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 |
|---|---|---|---|---|---|---|
| 126861941 | 12686194 | 1 | 20160102 | 20160102 | 0 | |
| 126861941 | 12686194 | 2 | 201510 | 0 | ||
| 126861941 | 12686194 | 4 | 201510 | 0 |