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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127801401 | 12780140 | 1 | I | 20160830 | 0 | 20160925 | 20160925 | DIR | US-FDA-351498 | FDA-CTU | 28.00 | YR | F | N | 83.25000 | KG | 20160925 | N | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127801401 | 12780140 | 1 | PS | ATENOLOL. | ATENOLOL | 1 | Oral | 30 TABLETS TWICE A DAY ORAL | Y | D | 20170830 | 0 | 30 | DF | COATED TABLET | BID | |||
127801401 | 12780140 | 3 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
127801401 | 12780140 | 5 | C | HERBAL TEA | 2 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127801401 | 12780140 | 1 | Ventricular extrasystoles |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127801401 | 12780140 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127801401 | 12780140 | Chest discomfort | |
127801401 | 12780140 | Chest pain | |
127801401 | 12780140 | Dry mouth | |
127801401 | 12780140 | Heart rate increased | |
127801401 | 12780140 | Pulse abnormal |
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 |
---|---|---|---|---|---|---|
127801401 | 12780140 | 1 | 20160828 | 20160829 | 0 |