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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124769322 | 12476932 | 2 | F | 20160620 | 20160617 | 20160701 | EXP | PL-NORTHSTAR HEALTHCARE HOLDINGS-PL-2016NSR001411 | NORTHSTAR | WIERGOWSKI M, SCHETZ D, JANKOWSKI Z, SUMINSKA-ZUMINSKA B, SEIN ANAND J. INTOXICATION OF FEMALE PATIENT WITH GENERALISED CANCER IN HOSPITAL--A CASE REPORT. PRZEGL LEK. 2015;72(9):485-7 | 79.00 | YR | F | Y | 0.00000 | 20160701 | MD | PL | PL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124769322 | 12476932 | 1 | PS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | 3 DF (POLTRAM) AND 2 DF (TRAMAL), 2ND DAY | 78935 | TABLET | ||||||||||
| 124769322 | 12476932 | 2 | SS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | 2 DF + 3 DF, 3RD DAY | 78935 | TABLET | ||||||||||
| 124769322 | 12476932 | 3 | SS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | 1 DF + 1 DF, 4TH DAY | 78935 | TABLET | ||||||||||
| 124769322 | 12476932 | 4 | SS | CHLORPROTHIXEN /00012102/ | CHLORPROTHIXENE HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 124769322 | 12476932 | 5 | C | RELANIUM /00017001/ | DIAZEPAM | 1 | 1 DF, SINGLE (DAY 2/3 NIGHT) | U | 0 | 1 | DF | ||||||||
| 124769322 | 12476932 | 6 | C | THIAMAZOLE | METHIMAZOLE | 1 | UNK | U | 0 | ||||||||||
| 124769322 | 12476932 | 7 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 124769322 | 12476932 | 8 | C | RAMIPRIL. | RAMIPRIL | 1 | UNK | U | 0 | ||||||||||
| 124769322 | 12476932 | 9 | C | TORASEMIDE | TORSEMIDE | 1 | UNK | U | 0 | ||||||||||
| 124769322 | 12476932 | 10 | C | ENOXAPARIN | ENOXAPARIN | 1 | UNK | U | 0 | ||||||||||
| 124769322 | 12476932 | 11 | C | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124769322 | 12476932 | 1 | Product used for unknown indication |
| 124769322 | 12476932 | 4 | Product used for unknown indication |
| 124769322 | 12476932 | 5 | Product used for unknown indication |
| 124769322 | 12476932 | 6 | Product used for unknown indication |
| 124769322 | 12476932 | 7 | Product used for unknown indication |
| 124769322 | 12476932 | 8 | Product used for unknown indication |
| 124769322 | 12476932 | 9 | Product used for unknown indication |
| 124769322 | 12476932 | 10 | Product used for unknown indication |
| 124769322 | 12476932 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124769322 | 12476932 | OT |
| 124769322 | 12476932 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124769322 | 12476932 | Aggression | |
| 124769322 | 12476932 | Fall | |
| 124769322 | 12476932 | General physical health deterioration | |
| 124769322 | 12476932 | Overdose | |
| 124769322 | 12476932 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 124769322 | 12476932 | 1 | 2014 | 0 | ||
| 124769322 | 12476932 | 2 | 2014 | 0 | ||
| 124769322 | 12476932 | 3 | 2014 | 0 | ||
| 124769322 | 12476932 | 4 | 2014 | 0 | ||
| 124769322 | 12476932 | 5 | 2014 | 0 | ||
| 124769322 | 12476932 | 8 | 2014 | 0 | ||
| 124769322 | 12476932 | 9 | 2014 | 0 | ||
| 124769322 | 12476932 | 10 | 2014 | 0 | ||
| 124769322 | 12476932 | 11 | 2014 | 0 |