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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117779493 | 11777949 | 3 | F | 20150907 | 20160711 | 20151125 | 20160720 | EXP | PHHY2015IT149908 | SANDOZ | 61.31 | YR | M | Y | 0.00000 | 20160720 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117779493 | 11777949 | 1 | PS | BISOPROLOL | BISOPROLOL | 1 | Oral | 105 MG, ONCE/SINGLE | Y | 75643 | 105 | MG | 1X | ||||||
| 117779493 | 11777949 | 2 | SS | LANSOPRAZOLE. | LANSOPRAZOLE | 1 | Oral | Y | 0 | ||||||||||
| 117779493 | 11777949 | 3 | SS | Deltacortene | PREDNISONE | 1 | Oral | 250 MG, ONCE/SINGLE | Y | 0 | 250 | MG | TABLET | 1X | |||||
| 117779493 | 11777949 | 4 | SS | VALIUM | DIAZEPAM | 1 | Oral | 20 ML, ONCE/SINGLE | Y | 0 | 20 | ML | 1X | ||||||
| 117779493 | 11777949 | 5 | C | ATEM | IPRATROPIUM BROMIDE | 1 | Unknown | U | 0 | ||||||||||
| 117779493 | 11777949 | 6 | C | CLENIL | BECLOMETHASONE DIPROPIONATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117779493 | 11777949 | 1 | Intentional self-injury |
| 117779493 | 11777949 | 2 | Intentional self-injury |
| 117779493 | 11777949 | 3 | Intentional self-injury |
| 117779493 | 11777949 | 4 | Intentional self-injury |
| 117779493 | 11777949 | 5 | Bronchospasm |
| 117779493 | 11777949 | 6 | Bronchospasm |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117779493 | 11777949 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117779493 | 11777949 | Drug abuse | |
| 117779493 | 11777949 | Electrocardiogram ST segment abnormal | |
| 117779493 | 11777949 | Intentional self-injury | |
| 117779493 | 11777949 | 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 |
|---|---|---|---|---|---|---|
| 117779493 | 11777949 | 1 | 20150907 | 20150907 | 0 | |
| 117779493 | 11777949 | 2 | 20150907 | 20150907 | 0 | |
| 117779493 | 11777949 | 3 | 20150907 | 20150907 | 0 | |
| 117779493 | 11777949 | 4 | 20150907 | 20150907 | 0 |