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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127057971 | 12705797 | 1 | I | 20160712 | 0 | 20160831 | 20160831 | DIR | 37.00 | YR | F | N | 253.00000 | LBS | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127057971 | 12705797 | 1 | PS | ABILIFY MAINTENA | ARIPIPRAZOLE | 1 | 400MG 1 SHOT A MONTH ONCE MONTHLY INJECTION | N | D | ABS0615 | 20160518 | 0 | 400 | MG | SUSPENSION FOR INJECTION | QM | |||
| 127057971 | 12705797 | 3 | C | ETODOLAC. | ETODOLAC | 1 | 0 | ||||||||||||
| 127057971 | 12705797 | 5 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127057971 | 12705797 | 7 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | 0 | ||||||||||||
| 127057971 | 12705797 | 9 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | ||||||||||||
| 127057971 | 12705797 | 11 | C | VALUIM | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127057971 | 12705797 | 1 | Depression |
| 127057971 | 12705797 | 1 | Personality disorder |
| 127057971 | 12705797 | 1 | Schizoaffective disorder |
| 127057971 | 12705797 | 1 | Substance abuse |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127057971 | 12705797 | DS |
| 127057971 | 12705797 | HO |
| 127057971 | 12705797 | RI |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127057971 | 12705797 | Activities of daily living impaired | |
| 127057971 | 12705797 | Back pain | |
| 127057971 | 12705797 | Swelling | |
| 127057971 | 12705797 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 127057971 | 12705797 | 1 | 2016 | 2016 | 0 |