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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127690301 | 12769030 | 1 | I | 2013 | 20160719 | 20160921 | 20160921 | EXP | US-DSJP-DSU-2016-125063 | DAIICHI | 0.00 | Y | 0.00000 | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127690301 | 12769030 | 1 | PS | AZOR | AMLODIPINE BESYLATEOLMESARTAN MEDOXOMIL | 1 | 5/20 MG, QD | 22100 | 1 | DF | TABLET | QD | |||||||
| 127690301 | 12769030 | 2 | SS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 100/50, BID | 0 | 1 | DF | BID | ||||||||
| 127690301 | 12769030 | 3 | SS | PROAIR HFA | ALBUTEROL SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127690301 | 12769030 | 1 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127690301 | 12769030 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127690301 | 12769030 | Anxiety | |
| 127690301 | 12769030 | Depression | |
| 127690301 | 12769030 | Diverticulum | |
| 127690301 | 12769030 | Dyspepsia | |
| 127690301 | 12769030 | Gastritis erosive | |
| 127690301 | 12769030 | Haemorrhoids | |
| 127690301 | 12769030 | Hernia | |
| 127690301 | 12769030 | Malabsorption | |
| 127690301 | 12769030 | Polyp |
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 |
|---|---|---|---|---|---|---|
| 127690301 | 12769030 | 1 | 2008 | 201503 | 0 |