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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127170421 | 12717042 | 1 | I | 20160526 | 0 | 20160906 | 20160906 | DIR | US-FDA-349664 | FDA-CTU | 62.00 | YR | M | N | 66.60000 | KG | 20160902 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127170421 | 12717042 | 1 | PS | CLINDAMYCIN | CLINDAMYCINCLINDAMYCIN PHOSPHATE | 1 | Oral | N | D | 0 | 29 | DF | COATED TABLET | Q6H | |||||
| 127170421 | 12717042 | 3 | C | RESTASIS | CYCLOSPORINE | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 4 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 5 | C | FISH OIL | FISH OIL | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 7 | C | MULTIVITAMINS | VITAMINS | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 9 | C | PROBIOTICS | PROBIOTICS NOS | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 11 | C | BENEFIBER | STARCH, WHEAT | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 13 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 127170421 | 12717042 | 15 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127170421 | 12717042 | 1 | Post procedural infection |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127170421 | 12717042 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127170421 | 12717042 | Clostridium difficile colitis | |
| 127170421 | 12717042 | Fear | |
| 127170421 | 12717042 | 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 |
|---|---|---|---|---|---|---|
| 127170421 | 12717042 | 1 | 20160526 | 20160603 | 0 |