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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125702181 | 12570218 | 1 | I | 20151128 | 20151204 | 20160719 | 20160719 | PER | US-MALLINCKRODT-T201505535 | MALLINCKRODT | 76.62 | YR | F | Y | 54.00000 | KG | 20160719 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125702181 | 12570218 | 1 | PS | Morphine | MORPHINE | 1 | Oral | 30 MG Q6H | Y | U | UNKNOWN | 76412 | EXTENDED RELEASE TABLET | ||||||
| 125702181 | 12570218 | 2 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | UNK | 0 | |||||||||||
| 125702181 | 12570218 | 3 | C | METOPROLOL. | METOPROLOL | 1 | UNK | 0 | |||||||||||
| 125702181 | 12570218 | 4 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | UNK | 0 | |||||||||||
| 125702181 | 12570218 | 5 | C | SUCRALFATE. | SUCRALFATE | 1 | UNK | 0 | |||||||||||
| 125702181 | 12570218 | 6 | C | DONEPEZIL. | DONEPEZIL | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125702181 | 12570218 | 1 | Pain |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125702181 | 12570218 | Drug ineffective | |
| 125702181 | 12570218 | Intentional product misuse |
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 |
|---|---|---|---|---|---|---|
| 125702181 | 12570218 | 1 | 20151128 | 20151130 | 0 |