Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303154 | 4099959 | I | 4303154-0 | 20031220 | 20031220 | 20040223 | EXP | KII-2003-0007335 | PURDUE PHARMA L.P. | 28 | YR | M | N | 20040220 | OT |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303154 | 1004647457 | PS | OXYCONTIN | 1 | D | D | 20553 | ||||
| 4303154 | 1004671889 | SS | METHADONE HCL | 1 | D | D | |||||
| 4303154 | 1004671890 | SS | BENZODIAZEPINES DERIVATIVES () | 2 | D | D | |||||
| 4303154 | 1004671891 | SS | COCAINE (COCAINE) | 2 | D | D |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4303154 | HO |
| 4303154 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4303154 | BODY TEMPERATURE INCREASED |
| 4303154 | CHILLS |
| 4303154 | COMA |
| 4303154 | GLUCOSE URINE PRESENT |
| 4303154 | HYPOTENSION |
| 4303154 | INCONTINENCE |
| 4303154 | MULTIPLE DRUG OVERDOSE |
| 4303154 | OXYGEN SATURATION DECREASED |
| 4303154 | RESPIRATORY RATE INCREASED |
| 4303154 | SINUS TACHYCARDIA |
| 4303154 | WHITE BLOOD CELL COUNT INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4303154 | HP |
| 4303154 | OTH |
| 4303154 | SDY |
Therapies reported
| no results found |