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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127815391 | 12781539 | 1 | I | 20160417 | 20160419 | 20160926 | 20160926 | PER | US-ALLERGAN-1654472US | ALLERGAN | 66.61 | YR | F | Y | 0.00000 | 20160926 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127815391 | 12781539 | 1 | PS | CARAFATE | SUCRALFATE | 1 | Oral | 10 ML, TID | 19183 | 10 | ML | ORAL SUSPENSION | TID | ||||||
| 127815391 | 12781539 | 2 | SS | CARAFATE | SUCRALFATE | 1 | 19183 | ORAL SUSPENSION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127815391 | 12781539 | 1 | Gastritis |
| 127815391 | 12781539 | 2 | Oesophageal achalasia |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127815391 | 12781539 | Headache | |
| 127815391 | 12781539 | Hypersensitivity | |
| 127815391 | 12781539 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 127815391 | 12781539 | 1 | 20160417 | 20160418 | 0 |