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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4330795 | 3986953 | F | 1 | 4330795-7 | 20021128 | 20040322 | 20040331 | EXP | USA030741953 | ELI LILLY AND COMPANY | 17 | YR | M | N | 20040324 | 20021128 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4330795 | 1004757103 | PS | ZYPREXA | 1 | D | 20592 | |||||
| 4330795 | 1004765415 | C | ADDERALL 10 | 1 | |||||||
| 4330795 | 1004765416 | C | TRAZODONE HCL | 1 | |||||||
| 4330795 | 1004765419 | C | MARIJUANA | 2 | |||||||
| 4330795 | 1004766682 | C | WELLBUTRIN | 1 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4330795 | DE |
| 4330795 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4330795 | CONVULSION |
| 4330795 | HEART RATE INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4330795 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4330795 | 1004757103 | 20020801 | 20021101 |