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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127804901 | 12780490 | 1 | I | 20110920 | 20160915 | 20160926 | 20160926 | EXP | US-VALIDUS PHARMACEUTICALS LLC-US-2016VAL002719 | VALIDUS | 53.00 | YR | F | Y | 0.00000 | 20160926 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127804901 | 12780490 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 40 MG, PRN | Y | UNKNOWN | 16273 | 40 | MG | TABLET | |||||
| 127804901 | 12780490 | 2 | SS | NAPROXEN. | NAPROXEN | 1 | Oral | UNK, BID | Y | UNKNOWN | 0 | TABLET | |||||||
| 127804901 | 12780490 | 3 | SS | NAPROXEN. | NAPROXEN | 1 | Oral | UNK, BID | Y | UNKNOWN | 0 | TABLET | |||||||
| 127804901 | 12780490 | 4 | SS | ALDACTONE | SPIRONOLACTONE | 1 | Oral | 25 MG, PRN (AS NEEDED) | Y | UNKNOWN | 0 | 25 | MG | TABLET | |||||
| 127804901 | 12780490 | 5 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 127804901 | 12780490 | 6 | C | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 7 | C | PROMETHAZINE HYDROCHLORIDE. | PROMETHAZINE HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 8 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 9 | C | SOMA | CARISOPRODOL | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 10 | C | REGLAN | METOCLOPRAMIDE HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 11 | C | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 12 | C | LIDODERM | LIDOCAINE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 13 | C | ALBUTEROL. | ALBUTEROL | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 14 | C | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 15 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 16 | C | MS CONTIN | MORPHINE SULFATE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 17 | C | GLUCOPHAGE | METFORMIN HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 127804901 | 12780490 | 18 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127804901 | 12780490 | 1 | Oedema |
| 127804901 | 12780490 | 2 | Osteoarthritis |
| 127804901 | 12780490 | 3 | Rheumatoid arthritis |
| 127804901 | 12780490 | 4 | Oedema |
| 127804901 | 12780490 | 5 | Product used for unknown indication |
| 127804901 | 12780490 | 6 | Product used for unknown indication |
| 127804901 | 12780490 | 7 | Product used for unknown indication |
| 127804901 | 12780490 | 8 | Product used for unknown indication |
| 127804901 | 12780490 | 9 | Product used for unknown indication |
| 127804901 | 12780490 | 10 | Product used for unknown indication |
| 127804901 | 12780490 | 11 | Product used for unknown indication |
| 127804901 | 12780490 | 12 | Product used for unknown indication |
| 127804901 | 12780490 | 13 | Product used for unknown indication |
| 127804901 | 12780490 | 14 | Product used for unknown indication |
| 127804901 | 12780490 | 15 | Product used for unknown indication |
| 127804901 | 12780490 | 16 | Product used for unknown indication |
| 127804901 | 12780490 | 17 | Product used for unknown indication |
| 127804901 | 12780490 | 18 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127804901 | 12780490 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127804901 | 12780490 | Dehydration | |
| 127804901 | 12780490 | Gastroenteritis |
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 |
|---|---|---|---|---|---|---|
| 127804901 | 12780490 | 1 | 2005 | 20110920 | 0 | |
| 127804901 | 12780490 | 2 | 20080501 | 20110920 | 0 | |
| 127804901 | 12780490 | 3 | 20111220 | 0 | ||
| 127804901 | 12780490 | 4 | 2005 | 20110920 | 0 | |
| 127804901 | 12780490 | 5 | 20080829 | 20110920 | 0 | |
| 127804901 | 12780490 | 6 | 1988 | 0 | ||
| 127804901 | 12780490 | 7 | 2000 | 0 | ||
| 127804901 | 12780490 | 8 | 2006 | 0 | ||
| 127804901 | 12780490 | 9 | 2006 | 0 | ||
| 127804901 | 12780490 | 10 | 2004 | 0 | ||
| 127804901 | 12780490 | 11 | 2005 | 0 | ||
| 127804901 | 12780490 | 12 | 2004 | 0 | ||
| 127804901 | 12780490 | 13 | 2006 | 0 | ||
| 127804901 | 12780490 | 14 | 20090613 | 0 | ||
| 127804901 | 12780490 | 15 | 20100713 | 0 | ||
| 127804901 | 12780490 | 16 | 20101019 | 0 | ||
| 127804901 | 12780490 | 17 | 20090612 | 0 | ||
| 127804901 | 12780490 | 18 | 20100310 | 0 |