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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127559111 | 12755911 | 1 | I | 20151119 | 20151202 | 20160916 | 20160916 | PER | US-TELIGENT, INC-IGIL20150036 | TELIGENT | 57.31 | YR | F | Y | 90.30000 | KG | 20160916 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127559111 | 12755911 | 1 | PS | RANITIDINE HYDROCHLORIDE. | RANITIDINE HYDROCHLORIDE | 1 | Unknown | U | 19090 | UNKNOWN | |||||||||
| 127559111 | 12755911 | 2 | C | COMPAZINE | PROCHLORPERAZINE MALEATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 127559111 | 12755911 | 3 | C | COMPAZINE | PROCHLORPERAZINE MALEATE | 1 | 0 | ||||||||||||
| 127559111 | 12755911 | 4 | C | COMPAZINE | PROCHLORPERAZINE MALEATE | 1 | 0 | ||||||||||||
| 127559111 | 12755911 | 5 | C | BENTYL | DICYCLOMINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 127559111 | 12755911 | 6 | C | TOVIAZ | FESOTERODINE FUMARATE | 1 | Oral | 0 | UNKNOWN | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127559111 | 12755911 | 1 | Gastrooesophageal reflux disease |
| 127559111 | 12755911 | 2 | Poor quality sleep |
| 127559111 | 12755911 | 3 | Nausea |
| 127559111 | 12755911 | 4 | Abdominal discomfort |
| 127559111 | 12755911 | 5 | Poor quality sleep |
| 127559111 | 12755911 | 6 | Hypertonic bladder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127559111 | 12755911 | Drug ineffective |
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 |
|---|---|---|---|---|---|---|
| 127559111 | 12755911 | 1 | 20151119 | 0 | ||
| 127559111 | 12755911 | 2 | 20151119 | 0 | ||
| 127559111 | 12755911 | 6 | 20151117 | 0 |