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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126949921 | 12694992 | 1 | I | 20160818 | 20160829 | 20160829 | EXP | US-SA-2016SA153040 | AVENTIS | 60.00 | YR | A | F | Y | 120.20000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126949921 | 12694992 | 1 | PS | AMBIEN | ZOLPIDEM TARTRATE | 1 | Oral | Y | UNKNOWN | 19908 | 10 | MG | FILM-COATED TABLET | QD | |||||
| 126949921 | 12694992 | 2 | SS | NEURONTIN | GABAPENTIN | 1 | Oral | UNKNOWN | 0 | 300 | MG | CAPSULE | QD | ||||||
| 126949921 | 12694992 | 3 | SS | NEURONTIN | GABAPENTIN | 1 | Oral | UNKNOWN | 0 | 300 | MG | CAPSULE | QD | ||||||
| 126949921 | 12694992 | 4 | SS | NEURONTIN | GABAPENTIN | 1 | Oral | TWICE OR THRICE A DAY | UNKNOWN | 0 | 400 | MG | CAPSULE | ||||||
| 126949921 | 12694992 | 5 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | TAKEN FROM: SIX OR SEVEN YEARS AGO | 0 | 30 | MG | CAPSULE | QD | ||||||
| 126949921 | 12694992 | 6 | C | XANAX | ALPRAZOLAM | 1 | Unknown | AT NIGHT FROM TEN YEARS AGO | 0 | 1 | MG | TABLET | |||||||
| 126949921 | 12694992 | 7 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 20 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126949921 | 12694992 | 1 | Sleep disorder |
| 126949921 | 12694992 | 2 | Neuralgia |
| 126949921 | 12694992 | 3 | Neuralgia |
| 126949921 | 12694992 | 4 | Neuralgia |
| 126949921 | 12694992 | 5 | Depression |
| 126949921 | 12694992 | 6 | Anxiety |
| 126949921 | 12694992 | 7 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126949921 | 12694992 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126949921 | 12694992 | Hallucination | |
| 126949921 | 12694992 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 126949921 | 12694992 | 2 | 201511 | 201601 | 0 | |
| 126949921 | 12694992 | 3 | 201601 | 0 |