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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127815601 | 12781560 | 1 | I | 20160425 | 20160427 | 20160926 | 20160926 | PER | US-ALLERGAN-1655318US | ALLERGAN | 74.57 | YR | M | Y | 63.49000 | KG | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127815601 | 12781560 | 1 | PS | CARAFATE | SUCRALFATE | 1 | Oral | 10 ML, UNK | Y | U | 19183 | 10 | ML | ORAL SUSPENSION | |||||
127815601 | 12781560 | 2 | C | CAPHOSOL | CALCIUM CHLORIDESODIUM CHLORIDESODIUM PHOSPHATE, DIBASIC, ANHYDROUSSODIUM PHOSPHATE, MONOBASIC, ANHYDROUS | 1 | Oral | UNK | 0 | ||||||||||
127815601 | 12781560 | 3 | C | LIDOCAINE. | LIDOCAINE | 1 | Unknown | UNK | 0 | ||||||||||
127815601 | 12781560 | 4 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
127815601 | 12781560 | 5 | C | MAALOX ANTACID | ALUMINUM HYDROXIDEDIMETHICONEMAGNESIUM HYDROXIDE | 1 | UNK | 0 | |||||||||||
127815601 | 12781560 | 6 | C | NYSTATIN. | NYSTATIN | 1 | Unknown | UNK | 0 | ||||||||||
127815601 | 12781560 | 7 | C | FLUCONAZOLE. | FLUCONAZOLE | 1 | Oral | 200 MG, BI-WEEKLY | 0 | 200 | MG | BIW |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127815601 | 12781560 | 1 | Mouth ulceration |
127815601 | 12781560 | 2 | Product used for unknown indication |
127815601 | 12781560 | 3 | Product used for unknown indication |
127815601 | 12781560 | 4 | Product used for unknown indication |
127815601 | 12781560 | 5 | Product used for unknown indication |
127815601 | 12781560 | 6 | Product used for unknown indication |
127815601 | 12781560 | 7 | Product used for unknown indication |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127815601 | 12781560 | Incorrect route of drug administration | |
127815601 | 12781560 | Lip swelling | |
127815601 | 12781560 | Off label use | |
127815601 | 12781560 | Psychomotor hyperactivity |
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 |
---|---|---|---|---|---|---|
127815601 | 12781560 | 1 | 20160425 | 20160427 | 0 | |
127815601 | 12781560 | 7 | 20160425 | 0 |