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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124017233 | 12401723 | 3 | F | 20141004 | 20160706 | 20160525 | 20160719 | EXP | US-INSYS THERAPEUTICS, INC-INS201605-000217 | INSYS | MOWRY J,SPYKER D,BROOKS D,MCMILLAN N,SCHAUBEN J. 2014 ANNUAL REPORT OF THE AMERICAN ASSOCIATION OF POISON CONTROL CENTERS^ NATIONAL POISON DATA SYSTEM (NPDS): 32ND ANNUAL REPORT. CLIN TOXICOL 2015;53(10):962-1146. | 35.00 | YR | M | Y | 0.00000 | 20160719 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124017233 | 12401723 | 1 | PS | FENTANYL. | FENTANYL | 1 | Oral | 202788 | |||||||||||
| 124017233 | 12401723 | 2 | SS | FENTANYL. | FENTANYL | 1 | Parenteral | 202788 | |||||||||||
| 124017233 | 12401723 | 3 | SS | ETHANOL | ALCOHOL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124017233 | 12401723 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124017233 | 12401723 | DE |
| 124017233 | 12401723 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124017233 | 12401723 | Cardiac arrest | |
| 124017233 | 12401723 | Death | |
| 124017233 | 12401723 | Intentional product use issue | |
| 124017233 | 12401723 | Ventricular fibrillation |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |