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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127373351 | 12737335 | 1 | I | 20160316 | 20160902 | 20160913 | 20160913 | EXP | TO20161828 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL002621 | VALIDUS | 91.00 | YR | F | Y | 0.00000 | 20160913 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127373351 | 12737335 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 20 MG, QD | Y | 16273 | 20 | MG | |||||||
| 127373351 | 12737335 | 2 | SS | LAMALINE | ACETAMINOPHENCAFFEINEOPIUM | 1 | Oral | 1 DOSAGE FORM, BID | Y | 0 | |||||||||
| 127373351 | 12737335 | 3 | SS | PARIET | RABEPRAZOLE SODIUM | 1 | Oral | 20 MG, QD | Y | 0 | 20 | MG | |||||||
| 127373351 | 12737335 | 4 | C | PREVISCAN | FLUINDIONE | 1 | UNK | 0 | |||||||||||
| 127373351 | 12737335 | 5 | C | AMIODARONE | AMIODARONE | 1 | UNK | 0 | |||||||||||
| 127373351 | 12737335 | 6 | C | LEVOTHYROX | LEVOTHYROXINE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127373351 | 12737335 | 1 | Product used for unknown indication |
| 127373351 | 12737335 | 2 | Spinal pain |
| 127373351 | 12737335 | 3 | Product used for unknown indication |
| 127373351 | 12737335 | 4 | Product used for unknown indication |
| 127373351 | 12737335 | 5 | Product used for unknown indication |
| 127373351 | 12737335 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127373351 | 12737335 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127373351 | 12737335 | Confusional state | |
| 127373351 | 12737335 | Hallucination, visual | |
| 127373351 | 12737335 | Nightmare |
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 |
|---|---|---|---|---|---|---|
| 127373351 | 12737335 | 1 | 20160316 | 0 | ||
| 127373351 | 12737335 | 2 | 20160316 | 0 | ||
| 127373351 | 12737335 | 3 | 20160316 | 0 |