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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127396241 | 12739624 | 1 | I | 20160815 | 20160902 | 20160913 | 20160913 | EXP | PC20160512 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL002625 | VALIDUS | 93.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127396241 | 12739624 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | UNK | Y | 16273 | |||||||||
| 127396241 | 12739624 | 2 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | UNK | Y | 16273 | |||||||||
| 127396241 | 12739624 | 3 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | 20 MG, UNK | Y | 16273 | 20 | MG | ||||||||
| 127396241 | 12739624 | 4 | SS | LOVENOX | ENOXAPARIN SODIUM | 1 | Unknown | 0.7 ML, BID | Y | 0 | .7 | ML | |||||||
| 127396241 | 12739624 | 5 | SS | AMOXICILLIN/CLAVULANIC ACID | AMOXICILLINCLAVULANIC ACID | 1 | Unknown | 1 G, TID | 0 | 1 | G | ||||||||
| 127396241 | 12739624 | 6 | SS | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | 1 DOSAGE FORM; QD | U | 0 | |||||||||
| 127396241 | 12739624 | 7 | SS | COUMADINE | WARFARIN SODIUM | 1 | Oral | UNK | Y | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127396241 | 12739624 | 1 | Cardiac failure |
| 127396241 | 12739624 | 4 | Embolism venous |
| 127396241 | 12739624 | 5 | Bronchopneumopathy |
| 127396241 | 12739624 | 6 | Vitamin B12 deficiency |
| 127396241 | 12739624 | 7 | Embolism venous |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127396241 | 12739624 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127396241 | 12739624 | Rash maculo-papular |
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 |
|---|---|---|---|---|---|---|
| 127396241 | 12739624 | 1 | 20160806 | 0 | ||
| 127396241 | 12739624 | 2 | 20160806 | 0 | ||
| 127396241 | 12739624 | 3 | 20160818 | 0 | ||
| 127396241 | 12739624 | 4 | 20160806 | 0 | ||
| 127396241 | 12739624 | 5 | 20160806 | 0 | ||
| 127396241 | 12739624 | 6 | 201608 | 201608 | 0 | |
| 127396241 | 12739624 | 7 | 201608 | 20160822 | 0 |