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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
93554511 | 9355451 | 1 | I | 20130605 | 0 | 20130618 | 20130618 | DIR | 40.00 | YR | F | N | 150.00000 | LBS | 20130611 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
93554511 | 9355451 | 1 | PS | MALLINCKRODT METHADOSE ORAL CONCENTRATE 10 MG/ML | 1 | ORAL | N | Y | 0527W86227 | 201612 | 0 | 10 | MG/ML | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
93554511 | 9355451 | 1 | Drug dependence |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
93554511 | 9355451 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
93554511 | 9355451 | Condition aggravated | |
93554511 | 9355451 | Sedation | |
93554511 | 9355451 | Skin reaction |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
93554511 | 9355451 | HP |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
93554511 | 9355451 | 1 | 20130605 | 0 | ||
93554511 | 9355451 | 1 | 20130606 | 0 |