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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117777563 | 11777756 | 3 | F | 20150907 | 20160712 | 20151125 | 20160722 | EXP | IT-MINISAL02-334516 | IT-TEVA-610850ACC | TEVA | 61.31 | YR | M | Y | 0.00000 | 20160722 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117777563 | 11777756 | 1 | PS | LANSOPRAZOLE. | LANSOPRAZOLE | 1 | Oral | U | U | 77255 | |||||||||
| 117777563 | 11777756 | 2 | SS | DELTACORTENE - 25 MG COMPRESSE - BRUNO FARMACEUTICI S.P.A | PREDNISONE | 1 | Oral | 10 DF TOTAL | U | U | 0 | 10 | DF | TABLET | |||||
| 117777563 | 11777756 | 3 | SS | VALIUM | DIAZEPAM | 1 | Oral | 20 ML TOTAL; FORM STRENGTH: 5MG/ML | U | U | 0 | 20 | ML | ORAL DROPS | |||||
| 117777563 | 11777756 | 4 | SS | BISOPROLOL HEMIFUMARATE | BISOPROLOL FUMARATE | 1 | Oral | 105 MG TOTAL | U | U | 0 | 105 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117777563 | 11777756 | 1 | Drug abuse |
| 117777563 | 11777756 | 2 | Drug abuse |
| 117777563 | 11777756 | 3 | Drug abuse |
| 117777563 | 11777756 | 4 | Drug abuse |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117777563 | 11777756 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117777563 | 11777756 | Drug abuse | |
| 117777563 | 11777756 | Electrocardiogram ST segment abnormal | |
| 117777563 | 11777756 | Intentional self-injury | |
| 117777563 | 11777756 | Sopor |
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 |
|---|---|---|---|---|---|---|
| 117777563 | 11777756 | 1 | 20150907 | 20150907 | 0 | |
| 117777563 | 11777756 | 2 | 20150907 | 20150907 | 0 | |
| 117777563 | 11777756 | 3 | 20150907 | 20150907 | 0 | |
| 117777563 | 11777756 | 4 | 20150907 | 20150907 | 0 |