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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127358031 | 12735803 | 1 | I | 20160721 | 20160913 | 20160913 | PER | US-JNJFOC-20160719026 | JANSSEN | 83.00 | YR | E | F | Y | 57.15000 | KG | 20160913 | CN | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127358031 | 12735803 | 1 | PS | IMODIUM MULTI-SYMPTOM RELIEF | DIMETHICONELOPERAMIDE HYDROCHLORIDE | 1 | Oral | N | UNKNOWN | 21140 | CAPLET | ||||||||
127358031 | 12735803 | 2 | SS | IMODIUM MULTI-SYMPTOM RELIEF | DIMETHICONELOPERAMIDE HYDROCHLORIDE | 1 | Oral | N | UNKNOWN | 21140 | 2 | DF | CAPLET | ||||||
127358031 | 12735803 | 3 | C | LOMOTIL | ATROPINE SULFATEDIPHENOXYLATE HYDROCHLORIDE | 1 | Unknown | 0 | 2.5 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 4 | C | AMLODIPINE BESYLATE. | AMLODIPINE BESYLATE | 1 | Unknown | 0 | 2.5 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 5 | C | ATORVASTIN | ATORVASTATIN | 1 | Unknown | 0 | 10 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 6 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 5 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 7 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Unknown | 0 | 40 | MG | UNSPECIFIED | BID | |||||||
127358031 | 12735803 | 8 | C | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Unknown | 0 | 20 | MG | UNSPECIFIED | QD | |||||||
127358031 | 12735803 | 9 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | 50 | MG | UNSPECIFIED | QD | |||||||
127358031 | 12735803 | 10 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | Unknown | 0 | 10 | MG | UNSPECIFIED | QD | |||||||
127358031 | 12735803 | 11 | C | BABY ASPIRIN | ASPIRIN | 1 | Unknown | 0 | 81 | MG | UNSPECIFIED | QD | |||||||
127358031 | 12735803 | 12 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | 0 | 500 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 13 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 0 | 2000 | IU | UNSPECIFIED | ||||||||
127358031 | 12735803 | 14 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Unknown | 0 | 2.5 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 15 | C | CARVEDILOL. | CARVEDILOL | 1 | Unknown | 0 | 6.25 | MG | UNSPECIFIED | ||||||||
127358031 | 12735803 | 16 | C | BRILINTA | TICAGRELOR | 1 | Unknown | 0 | 90 | MG | UNSPECIFIED | BID | |||||||
127358031 | 12735803 | 17 | C | NITROGLYCERIN. | NITROGLYCERIN | 1 | Unknown | 0 | .4 | MG | UNSPECIFIED |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127358031 | 12735803 | 2 | Diarrhoea |
127358031 | 12735803 | 3 | Diarrhoea |
127358031 | 12735803 | 4 | Blood pressure measurement |
127358031 | 12735803 | 5 | Blood cholesterol |
127358031 | 12735803 | 6 | Blood pressure measurement |
127358031 | 12735803 | 7 | Gastrooesophageal reflux disease |
127358031 | 12735803 | 8 | Antidepressant therapy |
127358031 | 12735803 | 9 | Thyroid disorder |
127358031 | 12735803 | 10 | Blood cholesterol |
127358031 | 12735803 | 11 | Cardiac disorder |
127358031 | 12735803 | 14 | Blood pressure measurement |
127358031 | 12735803 | 15 | Blood pressure measurement |
127358031 | 12735803 | 16 | Stent placement |
127358031 | 12735803 | 17 | Chest pain |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127358031 | 12735803 | Drug ineffective | |
127358031 | 12735803 | Incorrect dose administered | |
127358031 | 12735803 | Incorrect drug administration duration | |
127358031 | 12735803 | Off label use |
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 |
---|---|---|---|---|---|---|
127358031 | 12735803 | 2 | 20160221 | 0 |