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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124968572 | 12496857 | 2 | F | 20160613 | 20160718 | 20160624 | 20160727 | EXP | US-JNJFOC-20160617884 | JOHNSON AND JOHNSON | 42.00 | YR | A | F | Y | 109.30000 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124968572 | 12496857 | 1 | PS | ACETAMINOPHEN AND DIPHENHYDRAMINE HYDROCHLORIDE | ACETAMINOPHENDIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 500 MG/25 MG | N | 999999 | 100 | DF | TABLET | ||||||
| 124968572 | 12496857 | 2 | SS | IBUPROFEN. | IBUPROFEN | 1 | Oral | 200 MG | N | 999999 | 100 | DF | TABLET | ||||||
| 124968572 | 12496857 | 3 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 124968572 | 12496857 | 4 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 124968572 | 12496857 | 5 | C | CODEINE | CODEINE | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124968572 | 12496857 | 1 | Product used for unknown indication |
| 124968572 | 12496857 | 2 | Product used for unknown indication |
| 124968572 | 12496857 | 3 | Product used for unknown indication |
| 124968572 | 12496857 | 4 | Product used for unknown indication |
| 124968572 | 12496857 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124968572 | 12496857 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124968572 | 12496857 | Confusional state | |
| 124968572 | 12496857 | Overdose | |
| 124968572 | 12496857 | Somnolence | |
| 124968572 | 12496857 | Suicide attempt | |
| 124968572 | 12496857 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 124968572 | 12496857 | 1 | 20160613 | 0 | ||
| 124968572 | 12496857 | 2 | 20160613 | 0 |