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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127745191 | 12774519 | 1 | I | 20160816 | 20160923 | 20160923 | EXP | CA-TEVA-691558ACC | TEVA | 83.00 | YR | F | Y | 0.00000 | 20160923 | OT | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127745191 | 12774519 | 1 | PS | BACLOFEN. | BACLOFEN | 1 | Oral | 60 MILLIGRAM DAILY; | D | 72234 | 20 | MG | TID | ||||||
| 127745191 | 12774519 | 2 | SS | ALENDRONIC ACID | ALENDRONIC ACID | 1 | Oral | 10 MILLIGRAM DAILY; | D | 76184 | 70 | MG | TABLET | /wk | |||||
| 127745191 | 12774519 | 3 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 40 MILLIGRAM DAILY; | D | 18413 | 40 | MG | TABLET | QD | |||||
| 127745191 | 12774519 | 4 | SS | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | D | 80400 | ||||||||||
| 127745191 | 12774519 | 5 | SS | RAMIPRIL. | RAMIPRIL | 1 | Oral | 2.5 MILLIGRAM DAILY; | D | 77470 | 2.5 | MG | QD | ||||||
| 127745191 | 12774519 | 6 | SS | SIMVASTATIN. | SIMVASTATIN | 1 | Oral | 20 MG | D | 76052 | 20 | MG | TABLET | ||||||
| 127745191 | 12774519 | 7 | SS | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 4 DOSAGE FORMS DAILY; | D | 0 | 4 | DF | QD | ||||||
| 127745191 | 12774519 | 8 | SS | ACETAMINOPHEN AND CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | 1 DF | D | 88628 | 1 | DF | ||||||||
| 127745191 | 12774519 | 9 | SS | ASPIRIN. | ASPIRIN | 1 | 81 MILLIGRAM DAILY; | D | 0 | 81 | MG | QD | |||||||
| 127745191 | 12774519 | 10 | SS | CALCIUM CARBONATE. | CALCIUM CARBONATE | 1 | Oral | 1250 MILLIGRAM DAILY; | D | 0 | 1250 | MG | QD | ||||||
| 127745191 | 12774519 | 11 | SS | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Oral | 50 MG | D | 71523 | 50 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127745191 | 12774519 | 1 | Product used for unknown indication |
| 127745191 | 12774519 | 2 | Product used for unknown indication |
| 127745191 | 12774519 | 3 | Product used for unknown indication |
| 127745191 | 12774519 | 4 | Wound treatment |
| 127745191 | 12774519 | 5 | Product used for unknown indication |
| 127745191 | 12774519 | 6 | Product used for unknown indication |
| 127745191 | 12774519 | 7 | Product used for unknown indication |
| 127745191 | 12774519 | 8 | Product used for unknown indication |
| 127745191 | 12774519 | 9 | Product used for unknown indication |
| 127745191 | 12774519 | 10 | Product used for unknown indication |
| 127745191 | 12774519 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127745191 | 12774519 | DE |
| 127745191 | 12774519 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127745191 | 12774519 | Arteriosclerosis coronary artery | |
| 127745191 | 12774519 | Asphyxia | |
| 127745191 | 12774519 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |