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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127840021 | 12784002 | 1 | I | 20160923 | 20160927 | 20160927 | EXP | US-GLAXOSMITHKLINE-US2016139919 | GLAXOSMITHKLINE | 0.00 | F | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127840021 | 12784002 | 1 | PS | LAMICTAL | LAMOTRIGINE | 1 | Y | 20241 | 150 | MG | |||||||||
| 127840021 | 12784002 | 2 | C | LASIX | FUROSEMIDE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127840021 | 12784002 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127840021 | 12784002 | LT |
| 127840021 | 12784002 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127840021 | 12784002 | Amnesia | |
| 127840021 | 12784002 | Confusional state | |
| 127840021 | 12784002 | Coordination abnormal | |
| 127840021 | 12784002 | Dehydration | |
| 127840021 | 12784002 | Electrolyte imbalance | |
| 127840021 | 12784002 | Headache | |
| 127840021 | 12784002 | 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 |
|---|---|---|---|---|---|---|
| 127840021 | 12784002 | 1 | 20160405 | 20160821 | 0 |