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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125439111 | 12543911 | 1 | I | 20160706 | 20160711 | 20160711 | EXP | CA-BAUSCH-BL-2016-016129 | BAUSCH AND LOMB | 29.00 | YR | F | Y | 122.00000 | KG | 20160711 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125439111 | 12543911 | 1 | SS | BACLOFEN. | BACLOFEN | 1 | Unknown | 0 | 10 | MG | |||||||||
| 125439111 | 12543911 | 2 | PS | DIAZEPAM. | DIAZEPAM | 1 | Unknown | 2238162 | 5 | MG | |||||||||
| 125439111 | 12543911 | 3 | SS | VENLAFAXINE XR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 90071 | 150 | MG | |||||||||
| 125439111 | 12543911 | 4 | SS | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | Unknown | 0 | 50 | MG | |||||||||
| 125439111 | 12543911 | 5 | SS | GABAPENTIN. | GABAPENTIN | 1 | Oral | 0 | 300 | MG | |||||||||
| 125439111 | 12543911 | 6 | SS | CODEINE | CODEINE | 1 | Oral | 0 | 30 | MG | |||||||||
| 125439111 | 12543911 | 7 | C | FERROUS SULFATE. | FERROUS SULFATE | 1 | 0 | ||||||||||||
| 125439111 | 12543911 | 8 | C | SENNOSIDES. | SENNOSIDES | 1 | 0 | ||||||||||||
| 125439111 | 12543911 | 9 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | TABLET | |||||||||||
| 125439111 | 12543911 | 10 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125439111 | 12543911 | 1 | Product used for unknown indication |
| 125439111 | 12543911 | 2 | Product used for unknown indication |
| 125439111 | 12543911 | 3 | Product used for unknown indication |
| 125439111 | 12543911 | 4 | Product used for unknown indication |
| 125439111 | 12543911 | 5 | Product used for unknown indication |
| 125439111 | 12543911 | 6 | Product used for unknown indication |
| 125439111 | 12543911 | 7 | Product used for unknown indication |
| 125439111 | 12543911 | 8 | Product used for unknown indication |
| 125439111 | 12543911 | 9 | Product used for unknown indication |
| 125439111 | 12543911 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125439111 | 12543911 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125439111 | 12543911 | Overdose |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |