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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125240491 | 12524049 | 1 | I | 20160305 | 20160630 | 20160704 | 20160704 | EXP | FR-ROCHE-1787457 | ROCHE | 32.00 | YR | F | Y | 50.00000 | KG | 20160704 | MD | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125240491 | 12524049 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | IN A SINGLE ADMINISTRATION?DOSE: 10 MG | U | 13263 | 4 | DF | |||||||
| 125240491 | 12524049 | 2 | SS | TERCIAN | CYAMEMAZINE | 1 | Oral | IN A SINGLE ADMINISTRATION?DOSE: 100MG | U | 0 | 20 | DF | |||||||
| 125240491 | 12524049 | 3 | SS | ZOPICLONE | ZOPICLONE | 1 | Oral | IN A SINGLE ADMINISTRATION?DOSE: 7.5 MG | U | 0 | 10 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125240491 | 12524049 | 1 | Product used for unknown indication |
| 125240491 | 12524049 | 2 | Product used for unknown indication |
| 125240491 | 12524049 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125240491 | 12524049 | HO |
| 125240491 | 12524049 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125240491 | 12524049 | Coma | |
| 125240491 | 12524049 | 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 |
|---|---|---|---|---|---|---|
| 125240491 | 12524049 | 1 | 20160305 | 20160305 | 0 | |
| 125240491 | 12524049 | 2 | 20160305 | 20160305 | 0 | |
| 125240491 | 12524049 | 3 | 20160305 | 20160305 | 0 |