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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5049687 | 6063212 | F | 1 | 5049687-3 | 20051114 | 20060629 | 20060707 | EXP | PERC20060021 | ENDO PHARMACEUTICALS INC. | 40 | YR | M | N | 235 | LBS | 20060703 | OT | 20051114 | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5049687 | 1007461151 | PS | ACETAMINOPHEN AND OXYCODONE HCL | 1 | ORAL | PO | D | D | 40341 | ||
| 5049687 | 1007483915 | SS | DURAGESIC-100 | 1 | OTHER | OTHR | D | D | |||
| 5049687 | 1007483916 | SS | HYDROCODONE | 2 | D | D | |||||
| 5049687 | 1007483917 | SS | XANAX | 1 | D | D | |||||
| 5049687 | 1007483918 | SS | CANNABIS | 2 | D | D | |||||
| 5049687 | 1007483919 | SS | TOPAMAX | 1 | ORAL | 2 TABS DAILY PO | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5049687 | 1007461151 | PAIN |
| 5049687 | 1007483915 | PAIN |
| 5049687 | 1007483916 | PAIN |
| 5049687 | 1007483919 | NEURALGIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5049687 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 5049687 | ACCIDENTAL DEATH |
| 5049687 | BRONCHOPNEUMONIA |
| 5049687 | CARDIAC HYPERTROPHY |
| 5049687 | CARDIO-RESPIRATORY ARREST |
| 5049687 | DRUG INTERACTION |
| 5049687 | EMPHYSEMA |
| 5049687 | INCORRECT DOSE ADMINISTERED |
| 5049687 | MULTIPLE DRUG OVERDOSE |
| 5049687 | MUSCULOSKELETAL STIFFNESS |
| 5049687 | OEDEMA |
| 5049687 | PULMONARY OEDEMA |
| 5049687 | ROAD TRAFFIC ACCIDENT |
| 5049687 | TOE AMPUTATION |
| 5049687 | WHIPLASH INJURY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5049687 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5049687 | 1007461151 | 20051101 | |||
| 5049687 | 1007483915 | 20051114 | |||
| 5049687 | 1007483916 | 20051101 | |||
| 5049687 | 1007483917 | 20051101 | |||
| 5049687 | 1007483918 | 20051101 | |||
| 5049687 | 1007483919 | 20041029 | 20051101 |