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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4390004 | 4167019 | I | 4390004-X | 20040601 | 20040623 | 20040630 | EXP | US-JNJFOC-20040606909 | JOHNSON + JOHNSON PHARMACEUTICAL | 69 | YR | F | N | 20040629 | 20040601 |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4390004 | 1004988346 | PS | RISPERDAL | 1 | ORAL | 3 MG, 2 IN 1 DAY, ORAL | D | D | 20272 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4390004 | 1004988346 | DRUG USE FOR UNKNOWN INDICATION |
Outcome of event
Event ID | OUTC COD |
---|---|
4390004 | DE |
Reactions reported
Event ID | PT |
---|---|
4390004 | DEATH |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4390004 | CSM |
Therapies reported
no results found |