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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127771511 | 12777151 | 1 | I | 20160905 | 20160924 | 20160924 | PER | US-BAXTER-2016BAX047092 | BAXTER | 0.00 | F | Y | 124.85000 | KG | 20160923 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127771511 | 12777151 | 1 | PS | HIGHLY CONCENTRATED POTASSIUM CHLORIDE INJECTION | POTASSIUM CHLORIDE | 1 | Unknown | U | 19904 | SOLUTION FOR INFUSION | |||||||||
| 127771511 | 12777151 | 2 | SS | ZANAFLEX | TIZANIDINE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 127771511 | 12777151 | 3 | SS | METAXALONE. | METAXALONE | 1 | Oral | 2 TABLETS (ONE TABLET AS STARTER DOSE) | 0 | 400 | MG | TABLET | TID | ||||||
| 127771511 | 12777151 | 4 | SS | METAXALONE. | METAXALONE | 1 | 0 | ||||||||||||
| 127771511 | 12777151 | 5 | SS | METAXALONE. | METAXALONE | 1 | 0 | ||||||||||||
| 127771511 | 12777151 | 6 | SS | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 127771511 | 12777151 | 7 | SS | BACLOFEN. | BACLOFEN | 1 | Oral | 0 | |||||||||||
| 127771511 | 12777151 | 8 | SS | ROBAXIN | METHOCARBAMOL | 1 | Oral | 0 | |||||||||||
| 127771511 | 12777151 | 9 | SS | SOMA | CARISOPRODOL | 1 | Oral | 0 | |||||||||||
| 127771511 | 12777151 | 10 | C | ALBUTEROL. | ALBUTEROL | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 11 | C | ADDERALL | AMPHETAMINE ASPARTATEAMPHETAMINE SULFATEDEXTROAMPHETAMINE SACCHARATEDEXTROAMPHETAMINE SULFATE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 12 | C | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 13 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 14 | C | KLONOPIN | CLONAZEPAM | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 15 | C | CLONIDINE. | CLONIDINE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 16 | C | LASIX | FUROSEMIDE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 17 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 18 | C | insulin | INSULIN NOS | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 19 | C | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 20 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 21 | C | DITROPAN | OXYBUTYNIN CHLORIDE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 22 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 23 | C | ALDACTONE | SPIRONOLACTONE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 24 | C | RISPERDAL | RISPERIDONE | 1 | Unknown | 0 | |||||||||||
| 127771511 | 12777151 | 25 | C | XARELTO | RIVAROXABAN | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127771511 | 12777151 | 1 | Product used for unknown indication |
| 127771511 | 12777151 | 2 | Muscle spasms |
| 127771511 | 12777151 | 3 | Myalgia |
| 127771511 | 12777151 | 4 | Muscle spasms |
| 127771511 | 12777151 | 5 | Arthritis |
| 127771511 | 12777151 | 6 | Muscle spasms |
| 127771511 | 12777151 | 7 | Muscle spasms |
| 127771511 | 12777151 | 8 | Muscle spasms |
| 127771511 | 12777151 | 9 | Muscle relaxant therapy |
| 127771511 | 12777151 | 10 | Product used for unknown indication |
| 127771511 | 12777151 | 11 | Product used for unknown indication |
| 127771511 | 12777151 | 12 | Product used for unknown indication |
| 127771511 | 12777151 | 13 | Product used for unknown indication |
| 127771511 | 12777151 | 14 | Product used for unknown indication |
| 127771511 | 12777151 | 15 | Product used for unknown indication |
| 127771511 | 12777151 | 16 | Product used for unknown indication |
| 127771511 | 12777151 | 17 | Product used for unknown indication |
| 127771511 | 12777151 | 18 | Product used for unknown indication |
| 127771511 | 12777151 | 19 | Product used for unknown indication |
| 127771511 | 12777151 | 20 | Product used for unknown indication |
| 127771511 | 12777151 | 21 | Product used for unknown indication |
| 127771511 | 12777151 | 22 | Product used for unknown indication |
| 127771511 | 12777151 | 23 | Product used for unknown indication |
| 127771511 | 12777151 | 24 | Product used for unknown indication |
| 127771511 | 12777151 | 25 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127771511 | 12777151 | Fall | |
| 127771511 | 12777151 | Mobility decreased | |
| 127771511 | 12777151 | Muscle twitching | |
| 127771511 | 12777151 | Somnolence | |
| 127771511 | 12777151 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 127771511 | 12777151 | 3 | 20160505 | 0 |