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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126954301 | 12695430 | 1 | I | 201606 | 20160815 | 20160829 | 20160829 | EXP | BR-JNJFOC-20160814926 | JANSSEN | 32.75 | YR | A | F | Y | 0.00000 | 20160829 | CN | BR | BR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126954301 | 12695430 | 1 | SS | TYLEX | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Unknown | U | U | 0 | UNSPECIFIED | ||||||||
126954301 | 12695430 | 2 | SS | TYLEX | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Unknown | U | U | 0 | UNSPECIFIED | ||||||||
126954301 | 12695430 | 3 | PS | TYLEX | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Unknown | U | U | 85055 | UNSPECIFIED | ||||||||
126954301 | 12695430 | 4 | SS | AMOXICILLIN AND CLAVULANATE POTASSIUM | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 5 | SS | AMOXICILLIN AND CLAVULANATE POTASSIUM | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 6 | SS | AMOXICILLIN AND CLAVULANATE POTASSIUM | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 7 | SS | ALIVIUM | IBUPROFEN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 8 | SS | ALIVIUM | IBUPROFEN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 9 | SS | ALIVIUM | IBUPROFEN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 10 | SS | PREDSIM | PREDNISOLONE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 11 | SS | PREDSIM | PREDNISOLONE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 12 | SS | PREDSIM | PREDNISOLONE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
126954301 | 12695430 | 13 | C | REMICADE | INFLIXIMAB | 1 | Unknown | PERFORMED LAST INFUSION ON 02-JUL-2016. | 0 | 300 | MG | UNSPECIFIED |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126954301 | 12695430 | 1 | Nasopharyngitis |
126954301 | 12695430 | 2 | Headache |
126954301 | 12695430 | 3 | Sinusitis |
126954301 | 12695430 | 4 | Headache |
126954301 | 12695430 | 5 | Nasopharyngitis |
126954301 | 12695430 | 6 | Sinusitis |
126954301 | 12695430 | 7 | Headache |
126954301 | 12695430 | 8 | Nasopharyngitis |
126954301 | 12695430 | 9 | Sinusitis |
126954301 | 12695430 | 10 | Headache |
126954301 | 12695430 | 11 | Nasopharyngitis |
126954301 | 12695430 | 12 | Sinusitis |
126954301 | 12695430 | 13 | Crohn's disease |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126954301 | 12695430 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126954301 | 12695430 | Crohn's disease | |
126954301 | 12695430 | Diarrhoea | |
126954301 | 12695430 | Pollakiuria |
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 |
---|---|---|---|---|---|---|
126954301 | 12695430 | 13 | 20151126 | 0 |