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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4441586 | 5664215 | I | 4441586-0 | 20040319 | 20040728 | PER | USA040361534 | ELI LILLY AND COMPANY | 16 | YR | F | N | 59 | KG | 20040629 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4441586 | 1005177546 | PS | SYMBYAX | 1 | 1 DSG FORM/1 DAY | N | 21411 | ||||
| 4441586 | 1005186310 | SS | STRATTERA | 1 | Y | D | |||||
| 4441586 | 1005186313 | SS | PROZAC | 1 | 20 MG/1 DAY | D | |||||
| 4441586 | 1005186316 | C | ORTHO TRI-CYCLEN | 1 | |||||||
| 4441586 | 1005186317 | C | ATENOLOL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4441586 | 1005177546 | BIPOLAR I DISORDER |
| 4441586 | 1005186313 | BIPOLAR I DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4441586 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4441586 | DIZZINESS |
| 4441586 | DRUG INEFFECTIVE |
| 4441586 | LOSS OF CONSCIOUSNESS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4441586 | CR |
| 4441586 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4441586 | 1005177546 | 20040218 | 20040225 | ||
| 4441586 | 1005186313 | 20040225 |