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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127566841 | 12756684 | 1 | I | 201608 | 20160906 | 20160917 | 20160917 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-58494BP | BOEHRINGER INGELHEIM | 82.11 | YR | F | Y | 0.00000 | 20160917 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127566841 | 12756684 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 300 MG | 22512 | 150 | MG | CAPSULE | BID | ||||||
| 127566841 | 12756684 | 2 | C | Lisinopril / Hydrochlorothiazide | 2 | Oral | DOSE PER APPLICATION: 20 MG/ 25 MG; DAILY DOSE: 20 MG / 25 MG | 0 | TABLET | QD | |||||||||
| 127566841 | 12756684 | 3 | C | Lisinopril / Hydrochlorothiazide | 2 | 0 | |||||||||||||
| 127566841 | 12756684 | 4 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | Oral | 25 MG | 0 | 25 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127566841 | 12756684 | 1 | Pulmonary embolism |
| 127566841 | 12756684 | 2 | Peripheral swelling |
| 127566841 | 12756684 | 3 | Hypertension |
| 127566841 | 12756684 | 4 | Hypertension |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127566841 | 12756684 | Abdominal discomfort | |
| 127566841 | 12756684 | Abdominal pain upper | |
| 127566841 | 12756684 | Anorectal discomfort | |
| 127566841 | 12756684 | Asthenia | |
| 127566841 | 12756684 | Back pain | |
| 127566841 | 12756684 | Burning sensation | |
| 127566841 | 12756684 | Headache | |
| 127566841 | 12756684 | Insomnia | |
| 127566841 | 12756684 | Migraine | |
| 127566841 | 12756684 | Muscle spasms | |
| 127566841 | 12756684 | Nausea | |
| 127566841 | 12756684 | Pain in extremity | |
| 127566841 | 12756684 | Pruritus |
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 |
|---|---|---|---|---|---|---|
| 127566841 | 12756684 | 1 | 20160803 | 0 | ||
| 127566841 | 12756684 | 2 | 20160728 | 0 | ||
| 127566841 | 12756684 | 4 | 2015 | 0 |