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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4365387 | 4148119 | I | 4365387-7 | 20040509 | 20040510 | 20040525 | EXP | 04P-062-0260467-00 | PPD PHARMACOVIGILANCE | 60 | YR | F | N | 75 | KG | 20040510 | MD |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4365387 | 1004893154 | PS | AKINETON | 1 | ORAL | PER ORAL | U | D | 12003 | ||
| 4365387 | 1004906313 | SS | MIRTAZAPINE | 1 | ORAL | PER ORAL | U | D | |||
| 4365387 | 1004906314 | SS | LORAZEPAM | 1 | ORAL | PER ORAL | U | D | |||
| 4365387 | 1004906323 | SS | RISPERIDONE | 1 | ORAL | PER ORAL | U | D | |||
| 4365387 | 1004906330 | SS | ZOP 7.5 | 2 | ORAL | PER ORAL | U | D | |||
| 4365387 | 1004906334 | SS | ISOPROMETHAZINE HYDROCHLORIDE | 2 | ORAL | PER ORAL | U | D | |||
| 4365387 | 1004906336 | SS | DOMINAL | 2 | ORAL | PER ORAL | U | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4365387 | 1004893154 | SUICIDE ATTEMPT |
| 4365387 | 1004906313 | SUICIDE ATTEMPT |
| 4365387 | 1004906314 | SUICIDE ATTEMPT |
| 4365387 | 1004906323 | SUICIDE ATTEMPT |
| 4365387 | 1004906330 | SUICIDE ATTEMPT |
| 4365387 | 1004906334 | SUICIDE ATTEMPT |
| 4365387 | 1004906336 | SUICIDE ATTEMPT |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4365387 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4365387 | COMA |
| 4365387 | SUICIDE ATTEMPT |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4365387 | FGN |
| 4365387 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4365387 | 1004893154 | 20040509 | 20040509 | ||
| 4365387 | 1004906313 | 20040509 | 20040509 | ||
| 4365387 | 1004906314 | 20040509 | 20040509 | ||
| 4365387 | 1004906323 | 20040509 | 20040509 | ||
| 4365387 | 1004906330 | 20040509 | 20040509 | ||
| 4365387 | 1004906334 | 20040509 | 20040509 | ||
| 4365387 | 1004906336 | 20040509 | 20040509 |