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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127051441 | 12705144 | 1 | I | 20160830 | 0 | 20160831 | 20160831 | DIR | 19.00 | YR | M | N | 170.00000 | LBS | 20160830 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127051441 | 12705144 | 1 | PS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 30 TABLET(S) IN THE MORNING TAKEN BY MOUTH | Y | D | 20170824 | 0 | 30 | DF | COATED TABLET | ||||
| 127051441 | 12705144 | 3 | C | SUBUTEX | BUPRENORPHINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 5 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 7 | C | ADDERALL | AMPHETAMINE ASPARTATEAMPHETAMINE SULFATEDEXTROAMPHETAMINE SACCHARATEDEXTROAMPHETAMINE SULFATE | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 9 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 11 | C | AZELASTINE | AZELASTINE | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 13 | C | ASPIRIN. | ASPIRIN | 1 | 0 | ||||||||||||
| 127051441 | 12705144 | 15 | C | IBPROFEN | 2 | 0 | |||||||||||||
| 127051441 | 12705144 | 17 | C | CAFFEINE. | CAFFEINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127051441 | 12705144 | 1 | Respiratory disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127051441 | 12705144 | DS |
| 127051441 | 12705144 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127051441 | 12705144 | Anger | |
| 127051441 | 12705144 | Anxiety | |
| 127051441 | 12705144 | Asthma | |
| 127051441 | 12705144 | Attention deficit/hyperactivity disorder | |
| 127051441 | 12705144 | Chest pain | |
| 127051441 | 12705144 | Dissociative disorder | |
| 127051441 | 12705144 | Dyspnoea | |
| 127051441 | 12705144 | Fatigue | |
| 127051441 | 12705144 | Hypoaesthesia | |
| 127051441 | 12705144 | Nightmare | |
| 127051441 | 12705144 | Palpitations | |
| 127051441 | 12705144 | Panic reaction | |
| 127051441 | 12705144 | Paraesthesia | |
| 127051441 | 12705144 | Sinus disorder | |
| 127051441 | 12705144 | Sleep disorder |
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 |
|---|---|---|---|---|---|---|
| 127051441 | 12705144 | 1 | 20160829 | 20160830 | 0 |