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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115106752 | 11510675 | 2 | F | 2014 | 20150910 | 20150915 | 20160712 | EXP | US-JNJFOC-20150909521 | JANSSEN | 58.33 | YR | A | M | Y | 113.40000 | KG | 20160712 | CN | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115106752 | 11510675 | 1 | SS | FENTANYL TRANSDERMAL SYSTEM | FENTANYL | 1 | Transdermal | Y | N | UNKNOWN;UNKNOWN;1405003P1 | 0 | MATRIX PATCH | |||||||
| 115106752 | 11510675 | 2 | SS | FENTANYL TRANSDERMAL SYSTEM | FENTANYL | 1 | Transdermal | Y | N | UNKNOWN;UNKNOWN;1405003P1 | 0 | MATRIX PATCH | |||||||
| 115106752 | 11510675 | 3 | PS | FENTANYL TRANSDERMAL SYSTEM | FENTANYL | 1 | Transdermal | Y | N | UNKNOWN;UNKNOWN;1405003P1 | 19813 | MATRIX PATCH |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115106752 | 11510675 | 1 | Pain |
| 115106752 | 11510675 | 2 | Pain |
| 115106752 | 11510675 | 3 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115106752 | 11510675 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115106752 | 11510675 | Activities of daily living impaired | |
| 115106752 | 11510675 | Drug ineffective | |
| 115106752 | 11510675 | Hypersomnia | |
| 115106752 | 11510675 | Myocardial infarction | |
| 115106752 | 11510675 | Product quality issue |
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 |
|---|---|---|---|---|---|---|
| 115106752 | 11510675 | 1 | 2014 | 2014 | 0 | |
| 115106752 | 11510675 | 2 | 20150901 | 0 | ||
| 115106752 | 11510675 | 3 | 2014 | 201406 | 0 |