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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030952 | 12703095 | 2 | F | 2007 | 20160921 | 20160831 | 20160926 | PER | US-GLAXOSMITHKLINE-US2016GSK123373 | GLAXOSMITHKLINE | 58.88 | YR | M | Y | 0.00000 | 20160926 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030952 | 12703095 | 1 | PS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | 50 MG, UNK | UNKNOWN | 20132 | 50 | MG | TABLET | |||||||
| 127030952 | 12703095 | 2 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | 100 MG, UNK | UNKNOWN | 20132 | 100 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127030952 | 12703095 | 1 | Headache |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127030952 | 12703095 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127030952 | 12703095 | Bone pain | |
| 127030952 | 12703095 | Cardiac disorder | |
| 127030952 | 12703095 | Circumstance or information capable of leading to medication error | |
| 127030952 | 12703095 | Ill-defined disorder | |
| 127030952 | 12703095 | Myocardial infarction | |
| 127030952 | 12703095 | Palpitations | |
| 127030952 | 12703095 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 127030952 | 12703095 | 1 | 2007 | 0 |