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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127059431 | 12705943 | 1 | I | 200907 | 20090914 | 20160901 | 20160901 | PER | US-ASTRAZENECA-2009BM10865 | ASTRAZENECA | 790.00 | MON | F | Y | 0.00000 | 20160901 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127059431 | 12705943 | 1 | PS | BYETTA | EXENATIDE | 1 | Subcutaneous | Y | U | A524229A | 21773 | 5 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | BID | ||||
127059431 | 12705943 | 2 | SS | BYETTA | EXENATIDE | 1 | Subcutaneous | Y | U | A600588C | 21773 | 10 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | BID | ||||
127059431 | 12705943 | 3 | SS | KOMBIGLYZE XR | METFORMIN HYDROCHLORIDESAXAGLIPTIN HYDROCHLORIDE | 1 | Oral | DAILY | 0 | TABLET | |||||||||
127059431 | 12705943 | 4 | C | EXENATIDE | EXENATIDE | 1 | 10MCG PEN, DISPOSABLE DEVICE | 0 | SOLUTION FOR INJECTION | ||||||||||
127059431 | 12705943 | 5 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 | BID | |||||||||||
127059431 | 12705943 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 | 500 | MG | BID | |||||||||
127059431 | 12705943 | 7 | C | AVANDIA | ROSIGLITAZONE MALEATE | 1 | UNK | 0 | |||||||||||
127059431 | 12705943 | 8 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 1.25MG UNKNOWN | 0 | 1.25 | MG | |||||||||
127059431 | 12705943 | 9 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | UNK UNK, QD UNKNOWN | 0 | |||||||||||
127059431 | 12705943 | 10 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 20.0MG UNKNOWN | 0 | 20 | MG | |||||||||
127059431 | 12705943 | 11 | C | LOVASTATIN. | LOVASTATIN | 1 | Oral | 40.0MG UNKNOWN | 0 | 40 | MG | ||||||||
127059431 | 12705943 | 12 | C | HYDROCODONE | HYDROCODONE | 1 | UNK | 0 | TABLET | ||||||||||
127059431 | 12705943 | 13 | C | BABY ASPIRIN | ASPIRIN | 1 | 0 | 81 | MG | QD | |||||||||
127059431 | 12705943 | 14 | C | DIAZEPAM. | DIAZEPAM | 1 | 0 | 10 | MG | BID | |||||||||
127059431 | 12705943 | 15 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 25 MG, UNK | 0 | |||||||||||
127059431 | 12705943 | 16 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Oral | DAILY | 0 | ||||||||||
127059431 | 12705943 | 17 | C | GLUCOPHAGE | METFORMIN HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
127059431 | 12705943 | 18 | C | GLUCOPHAGE | METFORMIN HYDROCHLORIDE | 1 | 0 | 500 | MG | BID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127059431 | 12705943 | 1 | Type 2 diabetes mellitus |
127059431 | 12705943 | 2 | Type 2 diabetes mellitus |
127059431 | 12705943 | 3 | Type 2 diabetes mellitus |
127059431 | 12705943 | 5 | Type 2 diabetes mellitus |
127059431 | 12705943 | 6 | Type 2 diabetes mellitus |
127059431 | 12705943 | 7 | Type 2 diabetes mellitus |
127059431 | 12705943 | 10 | Depression |
127059431 | 12705943 | 11 | Blood cholesterol |
127059431 | 12705943 | 12 | Neck pain |
127059431 | 12705943 | 14 | Neck pain |
127059431 | 12705943 | 15 | Nausea |
127059431 | 12705943 | 16 | Hypertension |
127059431 | 12705943 | 17 | Type 2 diabetes mellitus |
127059431 | 12705943 | 18 | Type 2 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127059431 | 12705943 | Asthenia | |
127059431 | 12705943 | Blood glucose decreased | |
127059431 | 12705943 | Decreased appetite | |
127059431 | 12705943 | Drug dose omission | |
127059431 | 12705943 | Hot flush | |
127059431 | 12705943 | Malaise | |
127059431 | 12705943 | Nausea | |
127059431 | 12705943 | Tremor | |
127059431 | 12705943 | Vomiting | |
127059431 | 12705943 | Weight decreased |
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 |
---|---|---|---|---|---|---|
127059431 | 12705943 | 1 | 200907 | 200908 | 0 | |
127059431 | 12705943 | 2 | 200908 | 200909 | 0 | |
127059431 | 12705943 | 6 | 200909 | 0 | ||
127059431 | 12705943 | 7 | 200907 | 0 | ||
127059431 | 12705943 | 8 | 200909 | 0 | ||
127059431 | 12705943 | 9 | 200909 | 0 | ||
127059431 | 12705943 | 15 | 200909 | 0 | ||
127059431 | 12705943 | 18 | 201605 | 0 |