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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126967001 | 12696700 | 1 | I | 20160817 | 20160819 | 20160830 | 20160830 | PER | US-JNJFOC-20160817351 | JOHNSON AND JOHNSON | 76.00 | YR | E | F | Y | 70.76000 | KG | 20160830 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126967001 | 12696700 | 1 | PS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 1X PER DAY (AT NIGHT) FOR 2 DIFFERENT DAYS | U | U | 475988 | 19835 | 10 | MG | TABLET | QD | |||
| 126967001 | 12696700 | 2 | SS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 1X PER DAY (AT NIGHT) FOR 2 DIFFERENT DAYS | U | U | 475988 | 19835 | 10 | MG | TABLET | QD | |||
| 126967001 | 12696700 | 3 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | Unknown | AT NIGHT; 3-4 YEARS | 0 | .5 | MG | UNSPECIFIED | |||||||
| 126967001 | 12696700 | 4 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | EVERY OTHER DAY (EOD); 2 COUPLES | 0 | 12 | MG | UNSPECIFIED | QOD | ||||||
| 126967001 | 12696700 | 5 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Unknown | YEARS | 0 | 1 | DF | UNSPECIFIED | |||||||
| 126967001 | 12696700 | 6 | C | FISH OIL | FISH OIL | 1 | Unknown | YEARS | 0 | 1 | DF | UNSPECIFIED | |||||||
| 126967001 | 12696700 | 7 | C | CALCIUM | CALCIUM | 1 | Unknown | EVERY OTHER DAY (EOD); YEARS | 0 | 1 | DF | UNSPECIFIED | QOD | ||||||
| 126967001 | 12696700 | 8 | C | VITAMIN B6 | PYRIDOXINE HYDROCHLORIDE | 1 | Unknown | YEARS | 0 | 1 | DF | UNSPECIFIED | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126967001 | 12696700 | 1 | Multiple allergies |
| 126967001 | 12696700 | 2 | Sinus disorder |
| 126967001 | 12696700 | 3 | Panic disorder |
| 126967001 | 12696700 | 4 | Hypertension |
| 126967001 | 12696700 | 5 | Nutritional supplementation |
| 126967001 | 12696700 | 6 | Nutritional supplementation |
| 126967001 | 12696700 | 7 | Nutritional supplementation |
| 126967001 | 12696700 | 8 | Nutritional supplementation |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126967001 | 12696700 | Feeling abnormal | |
| 126967001 | 12696700 | Hallucination, visual | |
| 126967001 | 12696700 | Off label use | |
| 126967001 | 12696700 | Product use issue |
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 |
|---|---|---|---|---|---|---|
| 126967001 | 12696700 | 1 | 20160817 | 0 | ||
| 126967001 | 12696700 | 2 | 20160817 | 0 |