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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125575291 | 12557529 | 1 | I | 20160708 | 20160714 | 20160714 | EXP | CA-PURDUE PHARMA-CAN-2016-0006876 | PURDUE | 55.00 | YR | F | Y | 0.00000 | 20160713 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125575291 | 12557529 | 1 | PS | HYDROMORPHONE HCL | HYDROMORPHONE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 19892 | ||||||||
| 125575291 | 12557529 | 2 | SS | CITALOPRAM | CITALOPRAM HYDROBROMIDE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125575291 | 12557529 | 3 | SS | DIAZEPAM. | DIAZEPAM | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125575291 | 12557529 | 4 | SS | GABAPENTIN. | GABAPENTIN | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125575291 | 12557529 | 5 | SS | MIRTAZAPINE. | MIRTAZAPINE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125575291 | 12557529 | 6 | SS | ZOPICLONE | ZOPICLONE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125575291 | 12557529 | 7 | C | BUDESONIDE W/FORMOTEROL FUMARATE | BUDESONIDEFORMOTEROL FUMARATE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125575291 | 12557529 | 8 | C | ESOMEPRAZOLE | ESOMEPRAZOLE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125575291 | 12557529 | 9 | C | MEDROXYPROGESTERONE ACETATE. | MEDROXYPROGESTERONE ACETATE | 1 | Unknown | UNK | U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125575291 | 12557529 | 1 | Product used for unknown indication |
| 125575291 | 12557529 | 2 | Product used for unknown indication |
| 125575291 | 12557529 | 3 | Product used for unknown indication |
| 125575291 | 12557529 | 4 | Product used for unknown indication |
| 125575291 | 12557529 | 5 | Product used for unknown indication |
| 125575291 | 12557529 | 6 | Product used for unknown indication |
| 125575291 | 12557529 | 7 | Product used for unknown indication |
| 125575291 | 12557529 | 8 | Product used for unknown indication |
| 125575291 | 12557529 | 9 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125575291 | 12557529 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125575291 | 12557529 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |