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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
117017992 | 11701799 | 2 | F | 20150731 | 20150812 | 20151105 | 20160706 | PER | US-MALLINCKRODT-T201503943 | MALLINCKRODT | 44.72 | YR | F | Y | 100.00000 | KG | 20160706 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
117017992 | 11701799 | 1 | PS | FENTANYL TRANSDERMAL SYSTEM | FENTANYL | 1 | Transdermal | 25 MCG, CHANGE PATCH EVERY 72 HOURS | U | U | 3036025 | 77154 | TRANSDERMAL PATCH | ||||||
117017992 | 11701799 | 2 | SS | Oxycodone | OXYCODONE | 1 | Oral | 15 MG; 1 BID | U | U | UNKNOWN | 0 | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
117017992 | 11701799 | 1 | Pain |
117017992 | 11701799 | 2 | Pain |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
117017992 | 11701799 | Drug ineffective | |
117017992 | 11701799 | Drug withdrawal syndrome | |
117017992 | 11701799 | Product adhesion issue | |
117017992 | 11701799 | Urinary tract infection | |
117017992 | 11701799 | Urticaria |
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 |
---|---|---|---|---|---|---|
117017992 | 11701799 | 1 | 20150711 | 201508 | 0 |