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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125484331 | 12548433 | 1 | I | 20160527 | 20160707 | 20160712 | 20160712 | EXP | IT-ROCHE-1791673 | ROCHE | 23.41 | YR | F | Y | 0.00000 | 20160712 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125484331 | 12548433 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | 5MG/ML -20ML BOTTLE | U | 13263 | ORAL SOLUTION | ||||||||
| 125484331 | 12548433 | 2 | SS | CARBOLITHIUM | LITHIUM CARBONATE | 1 | Oral | U | 0 | 10 | DF | ||||||||
| 125484331 | 12548433 | 3 | SS | GABAPENTIN. | GABAPENTIN | 1 | Oral | U | 0 | 2 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125484331 | 12548433 | 1 | Suicide attempt |
| 125484331 | 12548433 | 2 | Suicide attempt |
| 125484331 | 12548433 | 3 | Suicide attempt |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125484331 | 12548433 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125484331 | 12548433 | Drug abuse | |
| 125484331 | 12548433 | Malaise | |
| 125484331 | 12548433 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 125484331 | 12548433 | 1 | 20160527 | 20160527 | 0 | |
| 125484331 | 12548433 | 2 | 20160527 | 20160527 | 0 | |
| 125484331 | 12548433 | 3 | 20160527 | 20160527 | 0 |