Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94323152 | 9432315 | 2 | F | 20130615 | 20130805 | 20130729 | 20130816 | EXP | ALK-2013-001811 | ALKERMES | 41.00 | YR | F | N | 84.80000 | KG | 20130812 | RN | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94323152 | 9432315 | 1 | PS | VIVITROL (VIVITROL_NDA) INJECTION, 380MG | 1 | INTRAMUSCULAR | D | D | 2013-004 | 201505 | 21897 | 380 | MG | ||||||
| 94323152 | 9432315 | 3 | C | GABAPENTIN (GABAPENTIN) | 1 | 0 | |||||||||||||
| 94323152 | 9432315 | 5 | C | VALACYCLOVIR HCL (VALACYCLOVIR HYDROCHLORIDE) | 2 | 0 | |||||||||||||
| 94323152 | 9432315 | 7 | C | IBUPROFEN (IBUPROFEN) | 1 | 0 | |||||||||||||
| 94323152 | 9432315 | 9 | C | PAXIL (PAROXETINE HYDROCHLORIDE) | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 94323152 | 9432315 | 1 | Drug dependence |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 94323152 | 9432315 | HO |
| 94323152 | 9432315 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 94323152 | 9432315 | Drug abuse | |
| 94323152 | 9432315 | Overdose |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 94323152 | 9432315 | HP |
| 94323152 | 9432315 | CR |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 94323152 | 9432315 | 1 | 20130611 | 20130611 | 0 |