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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127913391 | 12791339 | 1 | I | 20160429 | 0 | 20160928 | 20160928 | DIR | US-FDA-351732 | FDA-CTU | 49.28 | YR | M | N | 76.50000 | KG | 20160928 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127913391 | 12791339 | 1 | PS | LEVOFLOXACIN. | LEVOFLOXACIN | 1 | Oral | N | Y | 0 | 750 | MG | QD | ||||||
| 127913391 | 12791339 | 2 | C | METOPROLOL SUCCINATE ER | METOPROLOL SUCCINATE | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 4 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 6 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 8 | C | ASPIRIN. | ASPIRIN | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 10 | C | HYDROCODONE-ACETAMINOPHEN | ACETAMINOPHENHYDROCODONE | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 12 | C | IBUPROFEN. | IBUPROFEN | 1 | 0 | ||||||||||||
| 127913391 | 12791339 | 14 | C | ZOFRAN (ONDANSETRON HCL) | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127913391 | 12791339 | 1 | Pneumonia |
| 127913391 | 12791339 | 1 | Pyrexia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127913391 | 12791339 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127913391 | 12791339 | Amnesia | |
| 127913391 | 12791339 | Asthenia | |
| 127913391 | 12791339 | Balance disorder | |
| 127913391 | 12791339 | Dizziness | |
| 127913391 | 12791339 | Insomnia | |
| 127913391 | 12791339 | Muscle spasms | |
| 127913391 | 12791339 | Paraesthesia | |
| 127913391 | 12791339 | Polyneuropathy | |
| 127913391 | 12791339 | Rash | |
| 127913391 | 12791339 | Tachycardia | |
| 127913391 | 12791339 | Tremor | |
| 127913391 | 12791339 | Visual impairment |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127913391 | 12791339 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127913391 | 12791339 | 1 | 20160424 | 20160429 | 0 |