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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117844013 | 11784401 | 3 | F | 20150907 | 20160712 | 20151129 | 20160715 | EXP | IT-MINISAL02-334516 | IT-MYLANLABS-2015M1040876 | MYLAN | 0.00 | Y | 0.00000 | 20160715 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117844013 | 11784401 | 1 | PS | BISOPROLOL | BISOPROLOL | 1 | Oral | 105 MG, TOTAL | 75831 | 105 | MG | ||||||||
| 117844013 | 11784401 | 2 | SS | LANSOPRAZOLE. | LANSOPRAZOLE | 1 | Oral | 0 | |||||||||||
| 117844013 | 11784401 | 3 | SS | DELTACORTENE | PREDNISONE | 1 | Oral | 10 DF, TOTAL | 0 | 10 | DF | TABLET | |||||||
| 117844013 | 11784401 | 4 | SS | VALIUM | DIAZEPAM | 1 | Oral | 20 ML, TOTAL | 0 | 20 | ML | ORAL DROPS, SOLUTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117844013 | 11784401 | 1 | Product used for unknown indication |
| 117844013 | 11784401 | 2 | Product used for unknown indication |
| 117844013 | 11784401 | 3 | Product used for unknown indication |
| 117844013 | 11784401 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117844013 | 11784401 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117844013 | 11784401 | Drug abuse | |
| 117844013 | 11784401 | Electrocardiogram ST segment abnormal | |
| 117844013 | 11784401 | Intentional overdose | |
| 117844013 | 11784401 | Intentional self-injury | |
| 117844013 | 11784401 | 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 |
|---|---|---|---|---|---|---|
| 117844013 | 11784401 | 1 | 20150907 | 20150907 | 0 | |
| 117844013 | 11784401 | 2 | 20150907 | 20150907 | 0 | |
| 117844013 | 11784401 | 3 | 20150907 | 20150907 | 0 | |
| 117844013 | 11784401 | 4 | 20150907 | 20150907 | 0 |