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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4799889 | 6048354 | I | 4799889-6 | 20051007 | 20051013 | EXP | HQWYE934110OCT05 | WYETH PHARMACEUTICALS INC. | F | N | 20051012 | AUSTRALIA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4799889 | 1006520185 | PS | EFFEXOR | 1 | ORAL | ORAL | D | D | 20151 | ||
| 4799889 | 1006533234 | SS | ETHANOL (ETHANOL,) | 2 | ORAL | 1 BOTTLE OF PORT ORAL | D | D | |||
| 4799889 | 1006533235 | SS | TEMAZEPAM (TEMAZEPAM, CAPSULE) | 2 | 4 TABLET 1X PER 1 DAY | D | D |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4799889 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4799889 | AGGRESSION |
| 4799889 | HALLUCINATION, AUDITORY |
| 4799889 | INTENTIONAL SELF-INJURY |
| 4799889 | PSYCHOTIC DISORDER |
| 4799889 | SUICIDAL IDEATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4799889 | FGN |
| 4799889 | HP |
| 4799889 | OTH |
Therapies reported
| no results found |