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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121944802 | 12194480 | 2 | F | 20160102 | 20160802 | 20160321 | 20160825 | EXP | FR-UCBSA-2016010035 | UCB | 54.10 | YR | F | Y | 0.00000 | 20160825 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121944802 | 12194480 | 1 | PS | KEPPRA | LEVETIRACETAM | 1 | Oral | UNKNOWN DOSE AND FREQUENCY | U | 21035 | |||||||||
| 121944802 | 12194480 | 2 | SS | Gardenal | PHENOBARBITAL | 1 | Oral | WOULD HAVE INGESTED 60 TABLETS (6000 MG) | U | 0 | TABLET | ||||||||
| 121944802 | 12194480 | 3 | SS | Di-hydan | PHENYTOIN | 1 | UNKNOWN DOSE AND FREQUENCY | U | U | 0 | |||||||||
| 121944802 | 12194480 | 4 | C | IXPRIM | ACETAMINOPHENTRAMADOL HYDROCHLORIDE | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 5 | C | Metoject | METHOTREXATE SODIUM | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 6 | C | Urbanyl | CLOBAZAM | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 7 | C | Levothyrox | LEVOTHYROXINE | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 8 | C | VESICARE | SOLIFENACIN SUCCINATE | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 9 | C | Stilnox | ZOLPIDEM TARTRATE | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 10 | C | Inexium | ESOMEPRAZOLE | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 11 | C | CELEBREX | CELECOXIB | 1 | UNK | U | U | 0 | |||||||||
| 121944802 | 12194480 | 12 | C | Alendronic acid | ALENDRONIC ACID | 1 | UNK | U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121944802 | 12194480 | 1 | Product used for unknown indication |
| 121944802 | 12194480 | 2 | Product used for unknown indication |
| 121944802 | 12194480 | 3 | Product used for unknown indication |
| 121944802 | 12194480 | 4 | Product used for unknown indication |
| 121944802 | 12194480 | 5 | Product used for unknown indication |
| 121944802 | 12194480 | 6 | Product used for unknown indication |
| 121944802 | 12194480 | 7 | Product used for unknown indication |
| 121944802 | 12194480 | 8 | Product used for unknown indication |
| 121944802 | 12194480 | 9 | Product used for unknown indication |
| 121944802 | 12194480 | 10 | Product used for unknown indication |
| 121944802 | 12194480 | 11 | Product used for unknown indication |
| 121944802 | 12194480 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121944802 | 12194480 | LT |
| 121944802 | 12194480 | OT |
| 121944802 | 12194480 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121944802 | 12194480 | Coma | |
| 121944802 | 12194480 | Drug level increased | |
| 121944802 | 12194480 | Suicide attempt |
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 |
|---|---|---|---|---|---|---|
| 121944802 | 12194480 | 1 | 20160102 | 20160102 | 0 | |
| 121944802 | 12194480 | 2 | 20160102 | 20160102 | 0 |