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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449921 | 12544992 | 1 | I | 20160702 | 20160702 | 20160711 | 20160711 | EXP | IT-JNJFOC-20160701727 | JANSSEN | 23.00 | YR | A | M | Y | 60.00000 | KG | 20160711 | CN | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449921 | 12544992 | 1 | PS | HALDOL | HALOPERIDOL | 1 | Oral | U | U | 15923 | 5 | MG | TABLETS | ||||||
| 125449921 | 12544992 | 2 | SS | COCAINE | COCAINE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 125449921 | 12544992 | 3 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 125449921 | 12544992 | 4 | SS | CHLORPROMAZINE. | CHLORPROMAZINE | 1 | Unknown | U | 0 | 25 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125449921 | 12544992 | 1 | Product used for unknown indication |
| 125449921 | 12544992 | 2 | Product used for unknown indication |
| 125449921 | 12544992 | 3 | Product used for unknown indication |
| 125449921 | 12544992 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125449921 | 12544992 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125449921 | 12544992 | Drug abuse | |
| 125449921 | 12544992 | Intentional overdose |
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 |
|---|---|---|---|---|---|---|
| 125449921 | 12544992 | 1 | 20160702 | 20160702 | 0 | |
| 125449921 | 12544992 | 4 | 20160702 | 20160702 | 0 |