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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125558691 | 12555869 | 1 | I | 201602 | 20160630 | 20160714 | 20160714 | EXP | US-ACTAVIS-2016-15441 | WATSON | 52.43 | YR | F | Y | 54.00000 | KG | 20160714 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125558691 | 12555869 | 1 | PS | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | Unknown | AS NEEDED | U | UNKNOWN | 88616 | TABLET | |||||||
| 125558691 | 12555869 | 2 | SS | Trazodone Hydrochloride (Watson Laboratories) | TRAZODONE HYDROCHLORIDE | 1 | Unknown | UNKNOWN | U | UNKNOWN | 0 | TABLET | |||||||
| 125558691 | 12555869 | 3 | SS | Lorazepam (Watson Laboratories) | LORAZEPAM | 1 | Unknown | UNKNOWN | U | UNKNOWN | 0 | UNK | |||||||
| 125558691 | 12555869 | 4 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Unknown | 1 OR 2 A DAY | U | UNKNOWN | 0 | UNK | |||||||
| 125558691 | 12555869 | 5 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 50 MG, ONCE DAILY | UNKNOWN | 0 | 50 | MG | QD | ||||||
| 125558691 | 12555869 | 6 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125558691 | 12555869 | 7 | C | BUPROPION. | BUPROPION | 1 | Oral | 100 MG, ONCE DAILY | UNKNOWN | 0 | 100 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125558691 | 12555869 | 1 | Migraine |
| 125558691 | 12555869 | 2 | Product used for unknown indication |
| 125558691 | 12555869 | 3 | Product used for unknown indication |
| 125558691 | 12555869 | 4 | Blood pressure abnormal |
| 125558691 | 12555869 | 5 | Stress |
| 125558691 | 12555869 | 6 | Depression |
| 125558691 | 12555869 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125558691 | 12555869 | HO |
| 125558691 | 12555869 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125558691 | 12555869 | Concussion | |
| 125558691 | 12555869 | Eye contusion | |
| 125558691 | 12555869 | Fall | |
| 125558691 | 12555869 | Hunger | |
| 125558691 | 12555869 | Intentional overdose | |
| 125558691 | 12555869 | Muscular weakness | |
| 125558691 | 12555869 | Suicidal ideation | |
| 125558691 | 12555869 | Suicide attempt |
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 |
|---|---|---|---|---|---|---|
| 125558691 | 12555869 | 4 | 201505 | 0 | ||
| 125558691 | 12555869 | 5 | 201601 | 201605 | 0 | |
| 125558691 | 12555869 | 7 | 20160509 | 20160510 | 0 |