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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127776371 | 12777637 | 1 | I | 201607 | 20160916 | 20160924 | 20160924 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-61097BP | BOEHRINGER INGELHEIM | 83.95 | YR | M | Y | 0.00000 | 20160924 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127776371 | 12777637 | 1 | PS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 300 MG | 655120 | 21698 | 150 | MG | TABLET | BID | |||||
127776371 | 12777637 | 2 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | 655120 | 21698 | |||||||||||
127776371 | 12777637 | 3 | C | Multivitamin | VITAMINS | 1 | Oral | 0 | TABLET | ||||||||||
127776371 | 12777637 | 4 | C | Calcium | CALCIUM | 1 | Oral | 0 | TABLET | ||||||||||
127776371 | 12777637 | 5 | C | Glucosamine Chondroitin | CHONDROITIN SULFATE (BOVINE)GLUCOSAMINE HYDROCHLORIDE | 1 | Oral | 0 | CAPSULE | ||||||||||
127776371 | 12777637 | 6 | C | Glucosamine Chondroitin | CHONDROITIN SULFATE (BOVINE)GLUCOSAMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
127776371 | 12777637 | 7 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 0 | TABLET | ||||||||||
127776371 | 12777637 | 8 | C | ELIQUIS | APIXABAN | 1 | Oral | 0 | 5 | MG | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127776371 | 12777637 | 1 | Dyspepsia |
127776371 | 12777637 | 2 | Dyspepsia |
127776371 | 12777637 | 3 | Vitamin supplementation |
127776371 | 12777637 | 4 | Vitamin supplementation |
127776371 | 12777637 | 5 | Vitamin supplementation |
127776371 | 12777637 | 6 | Arthritis |
127776371 | 12777637 | 7 | Sleep disorder |
127776371 | 12777637 | 8 | Anticoagulant therapy |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127776371 | 12777637 | Diarrhoea | |
127776371 | 12777637 | Incorrect drug administration duration |
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 |
---|---|---|---|---|---|---|
127776371 | 12777637 | 1 | 201607 | 0 | ||
127776371 | 12777637 | 8 | 20160901 | 0 |