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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125695731 | 12569573 | 1 | I | 20160708 | 20160719 | 20160719 | EXP | CA-NAPPMUNDI-CAN-2016-0006871 | PURDUE | 64.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125695731 | 12569573 | 1 | PS | HYDROMORPHONE HCL | HYDROMORPHONE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 19892 | ||||||||
| 125695731 | 12569573 | 2 | SS | SENNOSIDES. | SENNOSIDES | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 3 | SS | ACIDOPHILUS | LACTOBACILLUS ACIDOPHILUS | 1 | Unknown | UNK | U | U | 0 | CAPSULE | |||||||
| 125695731 | 12569573 | 4 | SS | ALENDRONATE | ALENDRONATE SODIUM | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 5 | SS | ANTITHYMOCYTE IMMUNOGLOBULIN | THYMOCYTE IMMUNE GLOBULIN NOS | 1 | Intravenous (not otherwise specified) | UNK | U | U | 0 | INJECTION | |||||||
| 125695731 | 12569573 | 6 | SS | APO-SULFATRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 7 | SS | ATIVAN | LORAZEPAM | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 8 | SS | BACLOFEN. | BACLOFEN | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 9 | SS | CALCIUM CARBONATE. | CALCIUM CARBONATE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 10 | SS | CELLCEPT | MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 11 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Oral | 1 UNK, DAILY | U | U | 0 | ||||||||
| 125695731 | 12569573 | 12 | SS | DOCOSAHEXAENOIC ACID | DOCONEXENT | 1 | Unknown | UNK | U | U | 0 | CAPSULE | |||||||
| 125695731 | 12569573 | 13 | SS | EICOSAPENTAENOIC ACID | ICOSAPENT | 1 | Unknown | UNK | U | U | 0 | CAPSULE | |||||||
| 125695731 | 12569573 | 14 | SS | DOCUSATE SODIUM. | DOCUSATE SODIUM | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 15 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 16 | SS | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 17 | SS | LORATADINE. | LORATADINE | 1 | Unknown | 10 MG, UNK | U | U | 0 | 10 | MG | ||||||
| 125695731 | 12569573 | 18 | SS | LYRICA | PREGABALIN | 1 | Unknown | UNK | U | U | 0 | CAPSULE | |||||||
| 125695731 | 12569573 | 19 | SS | MELATONIN | MELATONIN | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 20 | SS | NASONEX | MOMETASONE FUROATE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 21 | SS | NICOTINAMIDE W/PYRIDOXINE HYDROCHL./TYROSINE | NIACINAMIDEPYRIDOXINE HYDROCHLORIDETYROSINE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 22 | SS | NORTRIPTYLINE HYDROCHLORIDE. | NORTRIPTYLINE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 23 | SS | NOVO-HYDRAZIDE | HYDROCHLOROTHIAZIDE | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 24 | SS | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | Unknown | 600 MG, UNK | U | U | 0 | 600 | MG | TABLET | |||||
| 125695731 | 12569573 | 25 | SS | PREDNISONE. | PREDNISONE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 26 | SS | SENNA | SENNA LEAFSENNOSIDESSENNOSIDES A AND B | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 27 | SS | TIZANIDINE HYDROCHLORIDE. | TIZANIDINE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 28 | SS | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 29 | SS | VITAMIN C | ASCORBIC ACID | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 30 | SS | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 31 | SS | WARFARIN | WARFARIN | 1 | Unknown | UNK | U | U | 0 | TABLET | |||||||
| 125695731 | 12569573 | 32 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Unknown | UNK | U | U | 0 | ||||||||
| 125695731 | 12569573 | 33 | SS | ZOPICLONE | ZOPICLONE | 1 | Unknown | UNK | U | U | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125695731 | 12569573 | 1 | Product used for unknown indication |
| 125695731 | 12569573 | 2 | Product used for unknown indication |
| 125695731 | 12569573 | 3 | Product used for unknown indication |
| 125695731 | 12569573 | 4 | Product used for unknown indication |
| 125695731 | 12569573 | 5 | Product used for unknown indication |
| 125695731 | 12569573 | 6 | Product used for unknown indication |
| 125695731 | 12569573 | 7 | Product used for unknown indication |
| 125695731 | 12569573 | 8 | Product used for unknown indication |
| 125695731 | 12569573 | 9 | Product used for unknown indication |
| 125695731 | 12569573 | 10 | Product used for unknown indication |
| 125695731 | 12569573 | 11 | Product used for unknown indication |
| 125695731 | 12569573 | 12 | Product used for unknown indication |
| 125695731 | 12569573 | 13 | Product used for unknown indication |
| 125695731 | 12569573 | 14 | Product used for unknown indication |
| 125695731 | 12569573 | 15 | Product used for unknown indication |
| 125695731 | 12569573 | 16 | Product used for unknown indication |
| 125695731 | 12569573 | 17 | Product used for unknown indication |
| 125695731 | 12569573 | 18 | Product used for unknown indication |
| 125695731 | 12569573 | 19 | Product used for unknown indication |
| 125695731 | 12569573 | 20 | Product used for unknown indication |
| 125695731 | 12569573 | 21 | Product used for unknown indication |
| 125695731 | 12569573 | 22 | Product used for unknown indication |
| 125695731 | 12569573 | 23 | Product used for unknown indication |
| 125695731 | 12569573 | 24 | Product used for unknown indication |
| 125695731 | 12569573 | 25 | Product used for unknown indication |
| 125695731 | 12569573 | 26 | Product used for unknown indication |
| 125695731 | 12569573 | 27 | Product used for unknown indication |
| 125695731 | 12569573 | 28 | Product used for unknown indication |
| 125695731 | 12569573 | 29 | Product used for unknown indication |
| 125695731 | 12569573 | 30 | Product used for unknown indication |
| 125695731 | 12569573 | 31 | Product used for unknown indication |
| 125695731 | 12569573 | 32 | Product used for unknown indication |
| 125695731 | 12569573 | 33 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125695731 | 12569573 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125695731 | 12569573 | Coma | |
| 125695731 | 12569573 | Gastrooesophageal reflux disease | |
| 125695731 | 12569573 | Pneumonia aspiration | |
| 125695731 | 12569573 | Somnolence |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |