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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127582901 | 12758290 | 1 | I | 20160630 | 0 | 20160917 | 20160917 | DIR | US-FDA-350862 | FDA-CTU | 61.00 | YR | M | N | 108.00000 | KG | 20160917 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127582901 | 12758290 | 1 | PS | LEVOFLOXACIN. | LEVOFLOXACIN | 1 | Oral | Y | D | 0 | QD | ||||||||
| 127582901 | 12758290 | 2 | C | MAOI (MONOAMINE OXIDASE INHIBITOR) | 2 | 0 | |||||||||||||
| 127582901 | 12758290 | 4 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 6 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 8 | C | CYPRIONATE | 2 | 0 | |||||||||||||
| 127582901 | 12758290 | 10 | C | MULTI VITAMIN | VITAMINS | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 12 | C | JOINT SUPPORT SUPPLEMENT | 2 | 0 | |||||||||||||
| 127582901 | 12758290 | 14 | C | MAGNESIUM | MAGNESIUM | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 16 | C | L-GLUTAMINE /00503401/ | GLUTAMINE | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 18 | C | FISH OIL | FISH OIL | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 20 | C | COQ10 | UBIDECARENONE | 1 | 0 | ||||||||||||
| 127582901 | 12758290 | 22 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127582901 | 12758290 | 1 | Pneumonia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127582901 | 12758290 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127582901 | 12758290 | Arthralgia | |
| 127582901 | 12758290 | Back pain | |
| 127582901 | 12758290 | Contraindicated product administered | |
| 127582901 | 12758290 | Decreased activity | |
| 127582901 | 12758290 | Hypoaesthesia | |
| 127582901 | 12758290 | Insomnia | |
| 127582901 | 12758290 | Musculoskeletal pain | |
| 127582901 | 12758290 | Neck pain | |
| 127582901 | 12758290 | Pain | |
| 127582901 | 12758290 | Pain in extremity | |
| 127582901 | 12758290 | Paraesthesia | |
| 127582901 | 12758290 | Tendon disorder |
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 |
|---|---|---|---|---|---|---|
| 127582901 | 12758290 | 1 | 20160623 | 20160628 | 0 |