Report
Version of Safety Report ID1Safety Report ID11043581primarysourcecountryUSoccurcountryUStransmissiondateformat102transmissiondate21/08/2015reporttype1serious1seriousnessdisabling1seriousnessother1receivedateformat102Date Received17/04/2015receiptdateformat102Date Last Updated17/04/2015fulfillexpeditecriteria1companynumbUS-SA-2015SA046555duplicate1Report Duplicate
duplicatesourceAVENTISduplicatenumbUS-SA-2015SA046555Primary Source
reportercountryUSqualification5Sender
sendertype2senderorganizationFDA-Public UseReceiver
receivertype6receiverorganizationFDAPatient
Onset Age56Unit of Onset Ageyearspatientagegroup5SexFemaleContents
- Reaction
- Drug
- 1)
- activesubstance
- openFDA Info on Medication
- 2)
- activesubstance
- openFDA Info on Medication
- 3)
- activesubstance
- openFDA Info on Medication
- 4)
- activesubstance
- openFDA Info on Medication
- 5)
- activesubstance
- 6)
- activesubstance
- openFDA Info on Medication
- 7)
- activesubstance
- openFDA Info on Medication
- 8)
- activesubstance
- 9)
- activesubstance
- openFDA Info on Medication
- 10)
- activesubstance
- openFDA Info on Medication
- 11)
- activesubstance
- openFDA Info on Medication
- 12)
- activesubstance
- openFDA Info on Medication
- summary