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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123736762 | 12373676 | 2 | F | 20160417 | 20160718 | 20160516 | 20160727 | EXP | US-JNJFOC-20160504421 | JOHNSON AND JOHNSON | 45.42 | YR | A | F | Y | 0.00000 | 20160727 | MD | US | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123736762 | 12373676 | 1 | PS | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | N | 19872 | UNSPECIFIED | |||||||||
123736762 | 12373676 | 2 | SS | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | N | 19872 | UNSPECIFIED | |||||||||
123736762 | 12373676 | 3 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | Oral | 0 | UNKNOWN | ||||||||||
123736762 | 12373676 | 4 | SS | GABAPENTIN. | GABAPENTIN | 1 | Oral | 0 | UNSPECIFIED | ||||||||||
123736762 | 12373676 | 5 | SS | ALCOHOL. | ALCOHOL | 1 | Oral | 0 | UNSPECIFIED |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
123736762 | 12373676 | 2 | Product used for unknown indication |
123736762 | 12373676 | 3 | Product used for unknown indication |
123736762 | 12373676 | 4 | Product used for unknown indication |
123736762 | 12373676 | 5 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
123736762 | 12373676 | OT |
123736762 | 12373676 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
123736762 | 12373676 | Drug administration error | |
123736762 | 12373676 | Intentional overdose | |
123736762 | 12373676 | 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 |
---|---|---|---|---|---|---|
123736762 | 12373676 | 2 | 20160417 | 0 | ||
123736762 | 12373676 | 3 | 20160417 | 0 | ||
123736762 | 12373676 | 4 | 20160417 | 0 | ||
123736762 | 12373676 | 5 | 20160417 | 0 |