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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127094071 | 12709407 | 1 | I | 20160828 | 0 | 20160901 | 20160901 | DIR | 69.00 | YR | M | N | 102.10000 | KG | 20160831 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127094071 | 12709407 | 1 | PS | METOPROLOL. | METOPROLOL | 1 | Oral | Y | D | 0 | 200 | MG | QD | ||||||
| 127094071 | 12709407 | 2 | SS | DILTIAZEM. | DILTIAZEM | 1 | Oral | Y | D | 0 | 300 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127094071 | 12709407 | 1 | Hypertension |
| 127094071 | 12709407 | 2 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127094071 | 12709407 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127094071 | 12709407 | Bradycardia | |
| 127094071 | 12709407 | Hypotension |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127094071 | 12709407 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127094071 | 12709407 | 1 | 20130626 | 20160828 | 0 | |
| 127094071 | 12709407 | 2 | 20160419 | 20160828 | 0 |