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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121728072 | 12172807 | 2 | F | 20160919 | 20160311 | 20160928 | EXP | US-PURDUE-USA-2016-0129536 | PURDUE | 22.00 | YR | F | Y | 0.00000 | 20160928 | CN | CA | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121728072 | 12172807 | 1 | PS | Morphine Sulfate (similar to NDA 19-516) | MORPHINE SULFATE | 1 | Oral | U | U | UNKNOWN | 2147483647 | ||||||||
| 121728072 | 12172807 | 2 | SS | CANNABIS | CANNABIS SATIVA SUBSP. INDICA TOP | 1 | Unknown | U | U | UNKNOWN | 0 | ||||||||
| 121728072 | 12172807 | 3 | SS | ALCOHOL. | ALCOHOL | 1 | Unknown | U | U | UNKNOWN | 0 | ||||||||
| 121728072 | 12172807 | 4 | SS | BENZOYLECGONINE | BENZOYLECGONINE | 1 | Unknown | U | U | 0 | |||||||||
| 121728072 | 12172807 | 5 | SS | COCAINE | COCAINE | 1 | Unknown | D | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121728072 | 12172807 | 1 | Product used for unknown indication |
| 121728072 | 12172807 | 2 | Product used for unknown indication |
| 121728072 | 12172807 | 3 | Product used for unknown indication |
| 121728072 | 12172807 | 4 | Product used for unknown indication |
| 121728072 | 12172807 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121728072 | 12172807 | DE |
| 121728072 | 12172807 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121728072 | 12172807 | Drug abuse | |
| 121728072 | 12172807 | Near drowning | |
| 121728072 | 12172807 | Overdose | |
| 121728072 | 12172807 | Unresponsive to stimuli |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |