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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127555671 | 12755567 | 1 | I | 2012 | 20160912 | 20160916 | 20160916 | EXP | US-DSJP-DSU-2016-130742 | DAIICHI | 0.00 | Y | 0.00000 | 20160916 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127555671 | 12755567 | 1 | PS | WELCHOL | COLESEVELAM HYDROCHLORIDE | 1 | Oral | UNK UNK, QD | 21176 | TABLET | QD | ||||||||
| 127555671 | 12755567 | 2 | C | XARELTO | RIVAROXABAN | 1 | Oral | UNK | 0 | ||||||||||
| 127555671 | 12755567 | 3 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | Oral | UNK | 0 | ||||||||||
| 127555671 | 12755567 | 4 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Oral | UNK | 0 | ||||||||||
| 127555671 | 12755567 | 5 | C | ESTRADIOL. | ESTRADIOL | 1 | Oral | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127555671 | 12755567 | 1 | Blood cholesterol increased |
| 127555671 | 12755567 | 2 | Product used for unknown indication |
| 127555671 | 12755567 | 3 | Hypertension |
| 127555671 | 12755567 | 4 | Thyroid disorder |
| 127555671 | 12755567 | 5 | Hot flush |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127555671 | 12755567 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127555671 | 12755567 | Cerebrovascular accident |
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 |
|---|---|---|---|---|---|---|
| 127555671 | 12755567 | 1 | 2000 | 2014 | 0 |