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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
116799633 | 11679963 | 3 | F | 20151008 | 20160705 | 20151029 | 20160710 | EXP | IT-ROCHE-1651559 | ROCHE | 39.00 | YR | F | Y | 60.00000 | KG | 20160711 | OT | IT | IT |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
116799633 | 11679963 | 1 | PS | HALDOL | HALOPERIDOL | 1 | Oral | 2 MG/ML ORAL DROPS, SOLUTION' 30 ML BOTTLE | 0 | 2 | MG | QD | |||||||
116799633 | 11679963 | 2 | SS | TALOFEN | PROMAZINE HYDROCHLORIDE | 1 | Oral | 4 G / 100 ML ORAL DROPS, SOLUTION' 30 ML BOTTLE | 0 | 4 | PCT | ||||||||
116799633 | 11679963 | 3 | SS | SEROQUEL | QUETIAPINE FUMARATE | 1 | Oral | 400 MG EXTENDED RELEASE TABLETS 60 TABLETS. | 0 | 400 | MG |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
116799633 | 11679963 | 1 | Product used for unknown indication |
116799633 | 11679963 | 2 | Product used for unknown indication |
116799633 | 11679963 | 3 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
116799633 | 11679963 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
116799633 | 11679963 | Drug abuse | |
116799633 | 11679963 | Intentional product misuse | |
116799633 | 11679963 | Intentional self-injury |
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 |
---|---|---|---|---|---|---|
116799633 | 11679963 | 1 | 20151008 | 20151008 | 0 | |
116799633 | 11679963 | 2 | 20151008 | 0 | ||
116799633 | 11679963 | 3 | 20151008 | 0 |