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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126966181 | 12696618 | 1 | I | 20140926 | 20160830 | 20160830 | PER | US-JNJFOC-20141004311 | JANSSEN | 53.00 | YR | A | F | Y | 0.00000 | 20160830 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126966181 | 12696618 | 1 | PS | DIFLUCAN | FLUCONAZOLE | 1 | Unknown | Y | N | 999999 | UNSPECIFIED | ||||||||
| 126966181 | 12696618 | 2 | SS | LEVAQUIN | LEVOFLOXACIN | 1 | Unknown | Y | N | 20634 | UNSPECIFIED | ||||||||
| 126966181 | 12696618 | 3 | SS | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | Y | 0 | UNSPECIFIED | |||||||||
| 126966181 | 12696618 | 4 | SS | CLEOCIN | CLINDAMYCIN PHOSPHATE | 1 | Unknown | Y | 0 | UNKNOWN | |||||||||
| 126966181 | 12696618 | 5 | SS | LIPITOR | ATORVASTATIN CALCIUM | 1 | Unknown | Y | 0 | FILM COATED TABLET | |||||||||
| 126966181 | 12696618 | 6 | SS | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | Y | 0 | UNKNOWN | |||||||||
| 126966181 | 12696618 | 7 | SS | BIAXIN | CLARITHROMYCIN | 1 | Unknown | Y | 0 | UNKNOWN | |||||||||
| 126966181 | 12696618 | 8 | SS | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | Unknown | Y | 0 | UNKNOWN | |||||||||
| 126966181 | 12696618 | 9 | SS | AMPICILLIN | AMPICILLIN | 1 | Unknown | Y | 0 | UNKNOWN | |||||||||
| 126966181 | 12696618 | 10 | SS | CIPRO | CIPROFLOXACIN HYDROCHLORIDE | 1 | Unknown | Y | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126966181 | 12696618 | 1 | Product used for unknown indication |
| 126966181 | 12696618 | 2 | Product used for unknown indication |
| 126966181 | 12696618 | 3 | Product used for unknown indication |
| 126966181 | 12696618 | 4 | Product used for unknown indication |
| 126966181 | 12696618 | 5 | Product used for unknown indication |
| 126966181 | 12696618 | 6 | Product used for unknown indication |
| 126966181 | 12696618 | 7 | Product used for unknown indication |
| 126966181 | 12696618 | 8 | Product used for unknown indication |
| 126966181 | 12696618 | 9 | Product used for unknown indication |
| 126966181 | 12696618 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126966181 | 12696618 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126966181 | 12696618 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |