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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126863201 | 12686320 | 1 | I | 201507 | 20150819 | 20160825 | 20160825 | PER | US-NOVOPROD-463196 | NOVO NORDISK | 61.00 | YR | A | F | Y | 90.72000 | KG | 20160825 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126863201 | 12686320 | 1 | PS | VICTOZA | LIRAGLUTIDE | 1 | Subcutaneous | UNK | U | U | UNKNOWN | 22341 | SOLUTION FOR INJECTION | ||||||
| 126863201 | 12686320 | 2 | SS | JUXTAPID | LOMITAPIDE MESYLATE | 1 | Oral | 5 MG, QD | UNKNOWN | 0 | 5 | MG | QD | ||||||
| 126863201 | 12686320 | 3 | C | EFFIENT | PRASUGREL HYDROCHLORIDE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 4 | C | BENICAR HCT | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 5 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 6 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 7 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 8 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 9 | C | GLIMEPIRIDE. | GLIMEPIRIDE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 10 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 11 | C | COREG CR | CARVEDILOL PHOSPHATE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 12 | C | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 100 U, QD | UNKNOWN | 0 | 100 | DF | QD | ||||||
| 126863201 | 12686320 | 13 | C | NOVOLOG | INSULIN ASPART | 1 | Subcutaneous | UNK | UNKNOWN | 0 | SOLUTION FOR INJECTION | ||||||||
| 126863201 | 12686320 | 14 | C | JARDIANCE | EMPAGLIFLOZIN | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 15 | C | COSAMIN DS /07182401/ | 2 | UNK | UNKNOWN | 0 | |||||||||||
| 126863201 | 12686320 | 16 | C | MAGNESIUM GLUCONATE | MAGNESIUM GLUCONATE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 17 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 126863201 | 12686320 | 18 | C | OMEGA 3 6 9 /01334101/ | 2 | UNK | UNKNOWN | 0 | |||||||||||
| 126863201 | 12686320 | 19 | C | VITAMIN E /00110501/ | TOCOPHEROL | 1 | UNK | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126863201 | 12686320 | 1 | Product used for unknown indication |
| 126863201 | 12686320 | 2 | Type IIa hyperlipidaemia |
| 126863201 | 12686320 | 3 | Product used for unknown indication |
| 126863201 | 12686320 | 4 | Product used for unknown indication |
| 126863201 | 12686320 | 5 | Product used for unknown indication |
| 126863201 | 12686320 | 6 | Product used for unknown indication |
| 126863201 | 12686320 | 7 | Product used for unknown indication |
| 126863201 | 12686320 | 8 | Product used for unknown indication |
| 126863201 | 12686320 | 9 | Product used for unknown indication |
| 126863201 | 12686320 | 10 | Product used for unknown indication |
| 126863201 | 12686320 | 11 | Product used for unknown indication |
| 126863201 | 12686320 | 12 | Product used for unknown indication |
| 126863201 | 12686320 | 13 | Product used for unknown indication |
| 126863201 | 12686320 | 14 | Product used for unknown indication |
| 126863201 | 12686320 | 15 | Product used for unknown indication |
| 126863201 | 12686320 | 16 | Product used for unknown indication |
| 126863201 | 12686320 | 17 | Product used for unknown indication |
| 126863201 | 12686320 | 18 | Product used for unknown indication |
| 126863201 | 12686320 | 19 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126863201 | 12686320 | Abdominal distension | |
| 126863201 | 12686320 | Blood calcium increased | |
| 126863201 | 12686320 | Blood potassium increased | |
| 126863201 | 12686320 | Constipation | |
| 126863201 | 12686320 | Diarrhoea | |
| 126863201 | 12686320 | Gastrointestinal pain | |
| 126863201 | 12686320 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 126863201 | 12686320 | 2 | 20150715 | 0 | ||
| 126863201 | 12686320 | 18 | 20150622 | 0 | ||
| 126863201 | 12686320 | 19 | 20150622 | 0 |