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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127936271 | 12793627 | 1 | I | 20160731 | 0 | 20160929 | 20160929 | DIR | FDA-CTU | 83.00 | YR | M | N | 214.00000 | LBS | 20160916 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127936271 | 12793627 | 1 | PS | ROCEPHIN | CEFTRIAXONE SODIUM | 1 | N | D | 0 | 1 | DF | QD | |||||||
| 127936271 | 12793627 | 2 | SS | LEVAQUIN | LEVOFLOXACIN | 1 | 0 | ||||||||||||
| 127936271 | 12793627 | 4 | C | UROXATRAL | ALFUZOSIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127936271 | 12793627 | 6 | C | FINASTERIDE. | FINASTERIDE | 1 | 0 | ||||||||||||
| 127936271 | 12793627 | 8 | C | LOSARTAN. | LOSARTAN | 1 | 0 | ||||||||||||
| 127936271 | 12793627 | 10 | C | ASPRIN | ASPIRIN | 1 | 0 | ||||||||||||
| 127936271 | 12793627 | 12 | C | MULTIPLE VITA | 2 | 0 | |||||||||||||
| 127936271 | 12793627 | 14 | C | OMEGA 3 | OMEGA-3 FATTY ACIDS | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127936271 | 12793627 | 1 | Bronchitis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127936271 | 12793627 | HO |
| 127936271 | 12793627 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127936271 | 12793627 | Erythema multiforme | |
| 127936271 | 12793627 | Peripheral swelling | |
| 127936271 | 12793627 | Pyrexia | |
| 127936271 | 12793627 | Stevens-Johnson syndrome |
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 |
|---|---|---|---|---|---|---|
| 127936271 | 12793627 | 1 | 20160803 | 20160805 | 0 |