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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127902121 | 12790212 | 1 | I | 20160921 | 20160928 | 20160928 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-078389 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160928 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127902121 | 12790212 | 1 | PS | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Unknown | U | 19898 | ||||||||||
127902121 | 12790212 | 2 | C | CORTISONE | CORTISONEHYDROCORTISONE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 3 | C | LYRICA | PREGABALIN | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 4 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 5 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 1 UNK, TID | U | 0 | TID | ||||||||
127902121 | 12790212 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 7 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 8 | C | HYZAAR | HYDROCHLOROTHIAZIDELOSARTAN POTASSIUM | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 9 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 10 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 11 | C | METROGEL | METRONIDAZOLE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 12 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 13 | C | NASACORT | TRIAMCINOLONE ACETONIDE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 14 | C | NOVOLOG | INSULIN ASPART | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 15 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 16 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 17 | C | TRAMADOL. | TRAMADOL | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 18 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 19 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | Unknown | U | 0 | ||||||||||
127902121 | 12790212 | 20 | C | CLOBETASOL | CLOBETASOL | 1 | Unknown | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127902121 | 12790212 | 1 | Product used for unknown indication |
127902121 | 12790212 | 2 | Product used for unknown indication |
127902121 | 12790212 | 3 | Product used for unknown indication |
127902121 | 12790212 | 4 | Product used for unknown indication |
127902121 | 12790212 | 5 | Product used for unknown indication |
127902121 | 12790212 | 6 | Product used for unknown indication |
127902121 | 12790212 | 7 | Product used for unknown indication |
127902121 | 12790212 | 8 | Product used for unknown indication |
127902121 | 12790212 | 9 | Product used for unknown indication |
127902121 | 12790212 | 10 | Product used for unknown indication |
127902121 | 12790212 | 11 | Product used for unknown indication |
127902121 | 12790212 | 12 | Product used for unknown indication |
127902121 | 12790212 | 13 | Product used for unknown indication |
127902121 | 12790212 | 14 | Product used for unknown indication |
127902121 | 12790212 | 15 | Product used for unknown indication |
127902121 | 12790212 | 16 | Product used for unknown indication |
127902121 | 12790212 | 17 | Product used for unknown indication |
127902121 | 12790212 | 18 | Product used for unknown indication |
127902121 | 12790212 | 19 | Product used for unknown indication |
127902121 | 12790212 | 20 | Product used for unknown indication |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127902121 | 12790212 | Arthralgia |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |