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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127415541 | 12741554 | 1 | I | 20160816 | 0 | 20160913 | 20160913 | DIR | FDA-CTU | 84.00 | YR | M | N | 185.00000 | LBS | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127415541 | 12741554 | 1 | PS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | Oral | 1 3 DAILY MAX MOUTH | N | D | 20170816 | 0 | 1 | DF | TID | ||||
| 127415541 | 12741554 | 2 | C | ATORVASTATIN | ATORVASTATIN | 1 | 0 | ||||||||||||
| 127415541 | 12741554 | 3 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | 0 | ||||||||||||
| 127415541 | 12741554 | 4 | C | ASPIRIN. | ASPIRIN | 1 | 0 | ||||||||||||
| 127415541 | 12741554 | 5 | C | POMEGRANATE | POMEGRANATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127415541 | 12741554 | 1 | Pain |
| 127415541 | 12741554 | 1 | Tooth extraction |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127415541 | 12741554 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127415541 | 12741554 | Anxiety | |
| 127415541 | 12741554 | Balance disorder | |
| 127415541 | 12741554 | Decreased appetite | |
| 127415541 | 12741554 | Dizziness | |
| 127415541 | 12741554 | Headache | |
| 127415541 | 12741554 | Nausea | |
| 127415541 | 12741554 | Pain |
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 |
|---|---|---|---|---|---|---|
| 127415541 | 12741554 | 1 | 20160816 | 20160816 | 0 |