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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126934211 | 12693421 | 1 | I | 20160810 | 20160825 | 20160829 | 20160829 | PER | US-GLAXOSMITHKLINE-US2016124184 | GLAXOSMITHKLINE | 46.00 | YR | F | Y | 0.00000 | 20160829 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126934211 | 12693421 | 1 | PS | NICODERM CQ | NICOTINE | 1 | 21 MG, UNK | Y | UNKNOWN | 20165 | 21 | MG | TRANSDERMAL PATCH | ||||||
| 126934211 | 12693421 | 2 | SS | NICODERM CQ | NICOTINE | 1 | 14 MG, UNK | HA102 | 20165 | 14 | MG | TRANSDERMAL PATCH |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126934211 | 12693421 | 1 | Drug withdrawal maintenance therapy |
| 126934211 | 12693421 | 2 | Drug withdrawal maintenance therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126934211 | 12693421 | Feeling jittery | |
| 126934211 | 12693421 | Nervousness | |
| 126934211 | 12693421 | Nicotine dependence | |
| 126934211 | 12693421 | Nightmare | |
| 126934211 | 12693421 | Palpitations | |
| 126934211 | 12693421 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 126934211 | 12693421 | 2 | 20160810 | 0 |