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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127815791 | 12781579 | 1 | I | 20160713 | 20160718 | 20160926 | 20160926 | PER | US-ALLERGAN-1663404US | ALLERGAN | 59.27 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127815791 | 12781579 | 1 | PS | CARAFATE | SUCRALFATE | 1 | Oral | 10 ML, QID | Y | U | 1156110 | 18333 | 10 | ML | TABLET | QID | |||
| 127815791 | 12781579 | 2 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Oral | UNK UNK, QD | Y | U | 0 | QD | |||||||
| 127815791 | 12781579 | 3 | C | EFFIENT | PRASUGREL HYDROCHLORIDE | 1 | Oral | UNK UNK, QD | U | 0 | QD | ||||||||
| 127815791 | 12781579 | 4 | C | LANEXAT | 2 | Oral | UNK UNK, QD | U | 0 | QD | |||||||||
| 127815791 | 12781579 | 5 | C | METOPROLOL. | METOPROLOL | 1 | Oral | UNK UNK, QD | U | 0 | QD | ||||||||
| 127815791 | 12781579 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | UNK UNK, QD | U | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127815791 | 12781579 | 1 | Gastrooesophageal reflux disease |
| 127815791 | 12781579 | 2 | Gastrooesophageal reflux disease |
| 127815791 | 12781579 | 3 | Cardiac disorder |
| 127815791 | 12781579 | 4 | Cardiac disorder |
| 127815791 | 12781579 | 5 | Cardiac disorder |
| 127815791 | 12781579 | 6 | Diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127815791 | 12781579 | Nausea | |
| 127815791 | 12781579 | Off label use | |
| 127815791 | 12781579 | Pruritus | |
| 127815791 | 12781579 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 127815791 | 12781579 | 1 | 20160713 | 20160717 | 0 | |
| 127815791 | 12781579 | 2 | 20160713 | 0 |