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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127410781 | 12741078 | 1 | I | 20150908 | 20160914 | 20160914 | PER | US-TEVA-592490USA | TEVA | 0.00 | F | Y | 51.00000 | KG | 20160914 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127410781 | 12741078 | 1 | PS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Unknown | 80 MILLIGRAM DAILY; | 77056 | 40 | MG | TABLET | BID | ||||||
| 127410781 | 12741078 | 2 | SS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | 77056 | ||||||||||||
| 127410781 | 12741078 | 3 | SS | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | Oral | 25 OR 50 MG AT BEDTIME | U | P93574 | 80738 | QD | |||||||
| 127410781 | 12741078 | 4 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | Oral | 10 MILLIGRAM DAILY; | 0 | 10 | MG | TABLET | QD | ||||||
| 127410781 | 12741078 | 5 | C | CLARITIN | LORATADINE | 1 | Oral | 10 MILLIGRAM DAILY; | 0 | 10 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127410781 | 12741078 | 1 | Gastrooesophageal reflux disease |
| 127410781 | 12741078 | 2 | Gastrooesophageal reflux disease |
| 127410781 | 12741078 | 3 | Hypersensitivity |
| 127410781 | 12741078 | 4 | Hypersensitivity |
| 127410781 | 12741078 | 5 | Hypersensitivity |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127410781 | 12741078 | Drug effect incomplete | |
| 127410781 | 12741078 | Drug ineffective | |
| 127410781 | 12741078 | Somnolence |
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 |
|---|---|---|---|---|---|---|
| 127410781 | 12741078 | 1 | 2014 | 2014 | 0 |