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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126899901 | 12689990 | 1 | I | 20140811 | 20160826 | 20160826 | PER | US-JNJFOC-20140818064 | JANSSEN | 57.00 | YR | A | F | Y | 0.00000 | 20160826 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126899901 | 12689990 | 1 | PS | DIFLUCAN | FLUCONAZOLE | 1 | Unknown | U | U | 999999 | UNSPECIFIED | ||||||||
| 126899901 | 12689990 | 2 | SS | LEVAQUIN | LEVOFLOXACIN | 1 | Unknown | U | U | 20634 | UNSPECIFIED | ||||||||
| 126899901 | 12689990 | 3 | SS | BIAXIN | CLARITHROMYCIN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 126899901 | 12689990 | 4 | SS | CIPRO | CIPROFLOXACIN HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126899901 | 12689990 | 1 | Product used for unknown indication |
| 126899901 | 12689990 | 2 | Product used for unknown indication |
| 126899901 | 12689990 | 3 | Product used for unknown indication |
| 126899901 | 12689990 | 4 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126899901 | 12689990 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |