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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127455711 | 12745571 | 1 | I | 20160914 | 0 | 20160914 | 20160914 | DIR | US-FDA-350616 | FDA-CTU | 30.00 | YR | M | N | 83.25000 | KG | 20160914 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127455711 | 12745571 | 1 | PS | CIPROFLOXACIN. | CIPROFLOXACIN | 1 | N | D | 0 | ||||||||||
| 127455711 | 12745571 | 2 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 127455711 | 12745571 | 4 | C | ATORVASTATIN CALCIUM. | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 127455711 | 12745571 | 6 | C | FISH OIL | FISH OIL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127455711 | 12745571 | 1 | Prostatitis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127455711 | 12745571 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127455711 | 12745571 | Arthralgia | |
| 127455711 | 12745571 | Musculoskeletal pain | |
| 127455711 | 12745571 | Tendon 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 |
|---|---|---|---|---|---|---|
| 127455711 | 12745571 | 1 | 20160909 | 20160913 | 0 |