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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127824621 | 12782462 | 1 | I | 20160915 | 20160927 | 20160927 | PER | US-JNJFOC-20160916794 | JANSSEN | 0.00 | E | F | Y | 48.99000 | KG | 20160927 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127824621 | 12782462 | 1 | PS | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | Oral | N | U | UNKNOWN | 20281 | TABLETS | |||||||
| 127824621 | 12782462 | 2 | SS | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Oral | U | U | 0 | TABLETS | ||||||||
| 127824621 | 12782462 | 3 | C | VITAMINS NOS | VITAMINS | 1 | Unknown | D | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127824621 | 12782462 | 1 | Pain |
| 127824621 | 12782462 | 2 | Pain |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127824621 | 12782462 | Abdominal pain upper | |
| 127824621 | 12782462 | Adverse drug reaction | |
| 127824621 | 12782462 | Aphasia | |
| 127824621 | 12782462 | Drug ineffective | |
| 127824621 | 12782462 | Dry throat | |
| 127824621 | 12782462 | Heart rate increased | |
| 127824621 | 12782462 | Malaise | |
| 127824621 | 12782462 | Pain | |
| 127824621 | 12782462 | Peripheral swelling | |
| 127824621 | 12782462 | Spinal pain |
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 |
|---|---|---|---|---|---|---|
| 127824621 | 12782462 | 1 | 20160423 | 201604 | 0 |