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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5233315 | 6223631 | F | 1 | 5233315-8 | 20040921 | 20070122 | 20070206 | EXP | 2006S1011788 | MYLAN PHARMACEUTICALS INC. | 32 | YR | M | N | 20070205 | OT | 20040921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5233315 | 1008128543 | PS | LORCET /00607101/ | 2 | D | D | 70920 | ||||
| 5233315 | 1008165932 | SS | TALWIN NX | 1 | D | D | |||||
| 5233315 | 1008165933 | SS | AMBIEN | 1 | D | D | |||||
| 5233315 | 1008165934 | SS | LORTAB | 1 | D | D | |||||
| 5233315 | 1008165935 | SS | NORCO | 1 | D | D | |||||
| 5233315 | 1008165936 | SS | VICODIN | 1 | D | D | |||||
| 5233315 | 1008165937 | SS | TEMAZEPAM | 1 | D | D | |||||
| 5233315 | 1008165938 | SS | FLURAZEPAM HYDROCHLORIDE | 1 | D | D | |||||
| 5233315 | 1008165939 | SS | RESTORIL | 1 | D | D | |||||
| 5233315 | 1008165940 | SS | LIDODERM | 1 | D | D | |||||
| 5233315 | 1008165941 | SS | LIDOPAIN | 2 | D | D | |||||
| 5233315 | 1008165942 | C | ZONEGRAN | 1 | |||||||
| 5233315 | 1008165943 | C | PROPONAPAT | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5233315 | 1008128543 | PAIN |
| 5233315 | 1008165932 | PAIN |
| 5233315 | 1008165933 | BACK PAIN |
| 5233315 | 1008165934 | PAIN |
| 5233315 | 1008165935 | PAIN |
| 5233315 | 1008165936 | PAIN |
| 5233315 | 1008165937 | PAIN |
| 5233315 | 1008165938 | PAIN |
| 5233315 | 1008165939 | PAIN |
| 5233315 | 1008165940 | PAIN |
| 5233315 | 1008165941 | PAIN |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5233315 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 5233315 | ABNORMAL DREAMS |
| 5233315 | ADRENAL HAEMORRHAGE |
| 5233315 | AMNESIA |
| 5233315 | ANXIETY |
| 5233315 | BLOOD BICARBONATE DECREASED |
| 5233315 | BLOOD CALCIUM DECREASED |
| 5233315 | BLOOD CHLORIDE INCREASED |
| 5233315 | BLOOD CREATININE INCREASED |
| 5233315 | BLOOD GLUCOSE INCREASED |
| 5233315 | BLOOD PH DECREASED |
| 5233315 | BLOOD POTASSIUM DECREASED |
| 5233315 | BLOOD PRESSURE DECREASED |
| 5233315 | BODY TEMPERATURE DECREASED |
| 5233315 | BRADYCARDIA |
| 5233315 | BRAIN OEDEMA |
| 5233315 | CARDIAC ARREST |
| 5233315 | COMPLETED SUICIDE |
| 5233315 | CONFUSIONAL STATE |
| 5233315 | DEPRESSION |
| 5233315 | FACE INJURY |
| 5233315 | FALL |
| 5233315 | GUN SHOT WOUND |
| 5233315 | HAEMORRHAGE |
| 5233315 | HALLUCINATION |
| 5233315 | HEAD INJURY |
| 5233315 | HEART RATE INCREASED |
| 5233315 | HYPOTONIA |
| 5233315 | MOOD ALTERED |
| 5233315 | NERVOUSNESS |
| 5233315 | PCO2 DECREASED |
| 5233315 | PCO2 INCREASED |
| 5233315 | PO2 DECREASED |
| 5233315 | PO2 INCREASED |
| 5233315 | PULMONARY OEDEMA |
| 5233315 | VISCERAL CONGESTION |
| 5233315 | VISUAL DISTURBANCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5233315 | CSM |
| 5233315 | HP |
| 5233315 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5233315 | 1008165933 | 20040920 |