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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126899202 | 12689920 | 2 | F | 20160829 | 20160826 | 20160831 | EXP | JP-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-55540NB | BOEHRINGER INGELHEIM | 83.00 | YR | M | Y | 0.00000 | 20160831 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126899202 | 12689920 | 1 | PS | MICARDIS | TELMISARTAN | 1 | Unknown | 20 MG | 20850 | 20 | MG | TABLET | QD | ||||||
| 126899202 | 12689920 | 2 | SS | PNEUMOVAX 23 | PNEUMOCOCCAL VACCINE, POLYVALENT 23 | 1 | Intravenous (not otherwise specified) | 0.5 ML | U | 0 | .5 | ML | INJECTION | QD | |||||
| 126899202 | 12689920 | 3 | SS | SODIUM RABEPRAZOLE | RABEPRAZOLE SODIUM | 1 | Oral | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126899202 | 12689920 | 1 | Product used for unknown indication |
| 126899202 | 12689920 | 2 | Product used for unknown indication |
| 126899202 | 12689920 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126899202 | 12689920 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126899202 | 12689920 | Interstitial lung disease | |
| 126899202 | 12689920 | Sepsis |
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 |
|---|---|---|---|---|---|---|
| 126899202 | 12689920 | 1 | 201501 | 201505 | 0 |