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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127965251 | 12796525 | 1 | I | 20160922 | 20160926 | 20160929 | 20160929 | PER | US-BAYER-2016-187359 | BAYER | 77.00 | YR | E | M | Y | 0.00000 | 20160929 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127965251 | 12796525 | 1 | PS | LEVITRA | VARDENAFIL HYDROCHLORIDE TRIHYDRATE | 1 | Oral | 20 MG, PRN | UNKNOWN | 21400 | 20 | MG | FILM-COATED TABLET | ||||||
| 127965251 | 12796525 | 2 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | 75 MG, UNK | 0 | 75 | MG | |||||||||
| 127965251 | 12796525 | 3 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | 0 | ||||||||||||
| 127965251 | 12796525 | 4 | C | METOPROLOL. | METOPROLOL | 1 | 25 MG, UNK | 0 | 25 | MG | |||||||||
| 127965251 | 12796525 | 5 | C | METOPROLOL. | METOPROLOL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127965251 | 12796525 | 1 | Erectile dysfunction |
| 127965251 | 12796525 | 2 | Arterial thrombosis |
| 127965251 | 12796525 | 3 | Stent placement |
| 127965251 | 12796525 | 4 | Arterial thrombosis |
| 127965251 | 12796525 | 5 | Stent placement |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127965251 | 12796525 | Drug ineffective | |
| 127965251 | 12796525 | Intentional product use issue |
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 |
|---|---|---|---|---|---|---|
| 127965251 | 12796525 | 1 | 20160922 | 20160922 | 0 |