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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127013051 | 12701305 | 1 | I | 20160719 | 0 | 20160830 | 20160830 | DIR | 64.00 | YR | F | N | 105.00000 | LBS | 0 | N | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127013051 | 12701305 | 1 | PS | VENLAFAXINE HYDROCHLORIDE. | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | N | D | 0 | QD | ||||||||
| 127013051 | 12701305 | 3 | C | NARCO | 2 | 0 | |||||||||||||
| 127013051 | 12701305 | 5 | C | LEVEMIR | INSULIN DETEMIR | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 7 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 9 | C | LEVOTHYROXIN | LEVOTHYROXINE | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 11 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 13 | C | CHLORHEXIDINE | CHLORHEXIDINE | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 14 | SS | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | ONE DAILY - TOOK MAYBE A WEEK OR LESS | 0 | QD | ||||||||||
| 127013051 | 12701305 | 15 | SS | BUSPIRONE | BUSPIRONE HYDROCHLORIDE | 1 | ONE DAILY TOOK A WEEK OR LESS | 0 | QD | ||||||||||
| 127013051 | 12701305 | 16 | SS | SCOPOLAMINE PATCH | SCOPOLAMINE | 1 | 0 | ||||||||||||
| 127013051 | 12701305 | 17 | SS | CHANTIX | VARENICLINE TARTRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127013051 | 12701305 | 1 | Anxiety |
| 127013051 | 12701305 | 14 | Anxiety |
| 127013051 | 12701305 | 15 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127013051 | 12701305 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127013051 | 12701305 | Lethargy | |
| 127013051 | 12701305 | Nausea | |
| 127013051 | 12701305 | Somnolence |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127013051 | 12701305 | CSM |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127013051 | 12701305 | 1 | 20160719 | 20160719 | 0 | |
| 127013051 | 12701305 | 14 | 20160331 | 0 | ||
| 127013051 | 12701305 | 15 | 20150423 | 0 | ||
| 127013051 | 12701305 | 16 | 20120822 | 0 |