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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127815921 | 12781592 | 1 | I | 20150925 | 20150928 | 20160926 | 20160926 | PER | US-ALLERGAN-1647165 | ALLERGAN | 76.64 | YR | F | Y | 0.00000 | 20160926 | PH | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127815921 | 12781592 | 1 | PS | CARAFATE | SUCRALFATE | 1 | Oral | 20 ML, BID/PRN | U | 1153005 | 19183 | 20 | ML | ORAL SUSPENSION | BID | ||||
127815921 | 12781592 | 2 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | UNK, UNKNOWN | UNKNOWN | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127815921 | 12781592 | 1 | Gastrooesophageal reflux disease |
127815921 | 12781592 | 2 | Product used for unknown indication |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127815921 | 12781592 | Liquid product physical issue | |
127815921 | 12781592 | Nausea |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |