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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127733221 | 12773322 | 1 | I | 20150902 | 20160922 | 20160922 | PER | US-BANPHARM-20154196 | BIONPHARMA | 72.00 | YR | E | M | Y | 81.65000 | KG | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127733221 | 12773322 | 1 | PS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 1 DF, ONCE, | 130002202 | 22429 | CAPSULE, SOFT | ||||||||
| 127733221 | 12773322 | 2 | C | LISINOPRIL. | LISINOPRIL | 1 | 10MG, QD, | 0 | |||||||||||
| 127733221 | 12773322 | 3 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | 1 DF, QD, | 0 | |||||||||||
| 127733221 | 12773322 | 4 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | 75MG, QD, | 0 | |||||||||||
| 127733221 | 12773322 | 5 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 1 DF{ QD, | 0 | |||||||||||
| 127733221 | 12773322 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 1 DF, QD, | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127733221 | 12773322 | 2 | Hypertension |
| 127733221 | 12773322 | 3 | Hypothyroidism |
| 127733221 | 12773322 | 4 | Blood cholesterol increased |
| 127733221 | 12773322 | 5 | Blood cholesterol increased |
| 127733221 | 12773322 | 6 | Diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127733221 | 12773322 | Drug effect incomplete |
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 |
|---|---|---|---|---|---|---|
| 127733221 | 12773322 | 1 | 20150902 | 0 |