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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126895111 | 12689511 | 1 | I | 20111211 | 0 | 20160825 | 20160825 | DIR | 63.00 | YR | M | N | 370.00000 | LBS | 20160801 | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126895111 | 12689511 | 1 | PS | TIKOSYN | DOFETILIDE | 1 | N | D | 0 | ||||||||||
| 126895111 | 12689511 | 3 | C | ATENOLOL (TENORMIN) | 2 | 0 | |||||||||||||
| 126895111 | 12689511 | 5 | C | OXYBUTYNIN (DITROPAN XL) | 2 | 0 | |||||||||||||
| 126895111 | 12689511 | 7 | C | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 9 | C | TERAZOSIN (HYTRIN) | 2 | 0 | |||||||||||||
| 126895111 | 12689511 | 11 | C | METFORMIN HYDROCHLORIDE. | METFORMIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 13 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 15 | C | SERTRALINE (LEXAPRO)(ZOLOFT) | 2 | 0 | |||||||||||||
| 126895111 | 12689511 | 17 | C | WARFARIN SODIUM. | WARFARIN SODIUM | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 19 | C | ZONISAMIDE. | ZONISAMIDE | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 21 | C | HUMALOG KWIKPEN | INSULIN LISPRO | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 23 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 25 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 126895111 | 12689511 | 27 | C | FLECAINIDE (TAMBOCOR) | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126895111 | 12689511 | 1 | Atrial fibrillation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126895111 | 12689511 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126895111 | 12689511 | Headache |
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 |
|---|---|---|---|---|---|---|
| 126895111 | 12689511 | 1 | 201112 | 201112 | 0 |