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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126931112 | 12693111 | 2 | F | 2013 | 20160915 | 20160829 | 20160916 | EXP | JP-BAYER-2016-162150 | BAYER | KAWAI Y, KITAYAMA M, AKAO H, MOTOYAMA A, TSUCHIYA T, KAJIMNAMI K. A CASE OF CORONARY RUPTURE AND PSEUDO ANEURYSM FORMATION AFTER FRACTURE OF IMPLANTED PACLITAXEL-ELUTING STENTS.. CARDIOVASCULAR INTERVENTION AND THERAPEUTICS. 2016;31(3):231-237. | 48.00 | YR | A | M | Y | 0.00000 | 20160916 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126931112 | 12693111 | 1 | PS | Bayaspirin | ASPIRIN | 1 | Oral | UNK | 21317 | GASTRO-RESISTANT TABLET | |||||||||
| 126931112 | 12693111 | 2 | SS | WARFARIN | WARFARIN | 1 | Oral | UNK | 0 | ||||||||||
| 126931112 | 12693111 | 3 | SS | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | Oral | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126931112 | 12693111 | 3 | Antiplatelet therapy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126931112 | 12693111 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126931112 | 12693111 | Cardiac tamponade | |
| 126931112 | 12693111 | Cardiogenic shock | |
| 126931112 | 12693111 | Drug administration error | |
| 126931112 | 12693111 | Labelled drug-drug interaction medication error | |
| 126931112 | 12693111 | Pericardial effusion | |
| 126931112 | 12693111 | Pericardial haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 126931112 | 12693111 | 1 | 2009 | 0 | ||
| 126931112 | 12693111 | 2 | 2009 | 0 | ||
| 126931112 | 12693111 | 3 | 2009 | 0 |