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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
104677012 | 10467701 | 2 | F | 20140822 | 20160908 | 20140922 | 20160921 | EXP | FR-AFSSAPS-RE20140790 | FR-FRI-1000070838 | FOREST | 42.20 | YR | M | Y | 0.00000 | 20160921 | OT | DK | FR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
104677012 | 10467701 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | OVERDOSE OF 20 DF ONCE | Y | 21323 | 20 | DF | COATED TABLET | 1X | ||||||
104677012 | 10467701 | 2 | SS | BACLOFENE | BACLOFEN | 1 | Oral | OVERDOSE OF 140 DF ONCE | Y | 0 | 140 | DF | TABLET | 1X |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
104677012 | 10467701 | 1 | Product used for unknown indication |
104677012 | 10467701 | 2 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
104677012 | 10467701 | LT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
104677012 | 10467701 | Confusional state | |
104677012 | 10467701 | Hallucination | |
104677012 | 10467701 | Intentional overdose | |
104677012 | 10467701 | Neuroleptic malignant syndrome |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
104677012 | 10467701 | 1 | 20140822 | 0 | ||
104677012 | 10467701 | 2 | 20140822 | 0 |