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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125486281 | 12548628 | 1 | I | 20160708 | 20160712 | 20160712 | EXP | US-SCIEGEN PHARMACEUTICALS INC-2016SCILIT00297 | SCIEGEN | 63.00 | YR | M | Y | 0.00000 | 20160712 | MD | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125486281 | 12548628 | 1 | PS | Fluoxetine Capsules, USP | FLUOXETINE HYDROCHLORIDE | 1 | Unknown | UNK | U | 204597 | CAPSULE | ||||||||
| 125486281 | 12548628 | 2 | SS | LORAZEPAM. | LORAZEPAM | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125486281 | 12548628 | 1 | Conversion disorder |
| 125486281 | 12548628 | 2 | Conversion disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125486281 | 12548628 | HO |
| 125486281 | 12548628 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125486281 | 12548628 | Aphasia | |
| 125486281 | 12548628 | Catatonia | |
| 125486281 | 12548628 | Clonus | |
| 125486281 | 12548628 | Creutzfeldt-Jakob disease | |
| 125486281 | 12548628 | Fall | |
| 125486281 | 12548628 | Hyperreflexia | |
| 125486281 | 12548628 | Mental status changes | |
| 125486281 | 12548628 | Metamorphopsia | |
| 125486281 | 12548628 | Movement disorder | |
| 125486281 | 12548628 | Myoclonus | |
| 125486281 | 12548628 | Paranoia | |
| 125486281 | 12548628 | Posturing |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |