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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126940901 | 12694090 | 1 | I | 20150712 | 20150716 | 20160829 | 20160829 | PER | US-PERRIGO-15US007405 | PERRIGO | 62.57 | YR | M | Y | 72.56000 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126940901 | 12694090 | 1 | PS | NICOTINE POLACRILEX | NICOTINE | 1 | Buccal | 4 MG, SINGLE | Y | 5DE1662 | 90711 | LOZENGE | |||||||
| 126940901 | 12694090 | 2 | C | BENAZEPRIL 1 A PHARMA | 2 | Unknown | ONE, QD | U | UNKNOWN | 0 | |||||||||
| 126940901 | 12694090 | 3 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126940901 | 12694090 | 4 | C | CLOPIDOGREL /01220704/ | 2 | Unknown | UNK | U | UNKNOWN | 0 | |||||||||
| 126940901 | 12694090 | 5 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | 20 MG | U | UNKNOWN | 0 | ||||||||
| 126940901 | 12694090 | 6 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126940901 | 12694090 | 7 | C | PROVENTIL HFA /00139501/ | 2 | Unknown | UNK | U | UNKNOWN | 0 | |||||||||
| 126940901 | 12694090 | 8 | C | RANITIDINE. | RANITIDINE | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126940901 | 12694090 | 9 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | UNK | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126940901 | 12694090 | 1 | Smoking cessation therapy |
| 126940901 | 12694090 | 2 | Hypertension |
| 126940901 | 12694090 | 3 | Prophylaxis |
| 126940901 | 12694090 | 4 | Coronary artery disease |
| 126940901 | 12694090 | 5 | Blood cholesterol increased |
| 126940901 | 12694090 | 6 | Hypertension |
| 126940901 | 12694090 | 7 | Chronic obstructive pulmonary disease |
| 126940901 | 12694090 | 8 | Dyspepsia |
| 126940901 | 12694090 | 9 | Chronic obstructive pulmonary disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126940901 | 12694090 | Abdominal discomfort | |
| 126940901 | 12694090 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 126940901 | 12694090 | 1 | 20150712 | 20150712 | 0 |