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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125223231 | 12522323 | 1 | I | 20160629 | 20160701 | 20160701 | EXP | CA-ASTRAZENECA-2016SE71239 | ASTRAZENECA | 69.00 | YR | F | Y | 0.00000 | 20160701 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125223231 | 12522323 | 1 | PS | SEROQUEL | QUETIAPINE FUMARATE | 1 | Oral | U | 20639 | TABLET | |||||||||
| 125223231 | 12522323 | 2 | SS | CLONAZEPAM. | CLONAZEPAM | 1 | Unknown | U | 0 | TABLET | |||||||||
| 125223231 | 12522323 | 3 | SS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | U | U | 0 | 20 | MG | POWDER FOR SOLUTION FOR INJECTION | QD | |||||
| 125223231 | 12522323 | 4 | C | CALCIUM | CALCIUM | 1 | 0 | ||||||||||||
| 125223231 | 12522323 | 5 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | TABLET | |||||||||||
| 125223231 | 12522323 | 6 | C | PLANTAGO OVATA | PLANTAGO OVATA LEAF | 1 | 0 | ||||||||||||
| 125223231 | 12522323 | 7 | C | PREMARIN | ESTROGENS, CONJUGATED | 1 | 0 | ||||||||||||
| 125223231 | 12522323 | 8 | C | PREVACID | LANSOPRAZOLE | 1 | 0 | ||||||||||||
| 125223231 | 12522323 | 9 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | CAPSULE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125223231 | 12522323 | 3 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125223231 | 12522323 | OT |
| 125223231 | 12522323 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125223231 | 12522323 | Intentional overdose | |
| 125223231 | 12522323 | Loss of consciousness |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |