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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4549314 | 5712421 | I | 4549314-5 | 20040512 | 20040616 | 20041230 | PER | 04-06-0862 | IVAX PHARMACEUTICALS, INC. | 27 | YR | F | N | 174 | LBS | 20040616 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4549314 | 1005569639 | PS | CLOZAPINE | 1 | ORAL | 150 MG QAM ORAL | D | D | 74949 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4549314 | 1005569639 | PARANOIA |
| 4549314 | 1005569639 | SCHIZOPHRENIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4549314 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4549314 | SUICIDAL IDEATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4549314 | HP |
| 4549314 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4549314 | 1005569639 | 20040427 | 20040512 |