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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125702281 | 12570228 | 1 | I | 201405 | 20160620 | 20160719 | 20160719 | PER | US-MALLINCKRODT-T201602694 | MALLINCKRODT | 73.00 | YR | F | Y | 59.00000 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125702281 | 12570228 | 1 | PS | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | Oral | UNK | Y | UNKNOWN | 202348 | ORAL SOLUTION | |||||||
125702281 | 12570228 | 2 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Oral | 1 CAPSULE ONCE DAILY | UNKNOWN | 0 | |||||||||
125702281 | 12570228 | 3 | C | DEMEROL | MEPERIDINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | TWICE | UNKNOWN | 0 | |||||||||
125702281 | 12570228 | 4 | C | MULTIVITAMIN | VITAMINS | 1 | UNK | 0 | |||||||||||
125702281 | 12570228 | 5 | C | CALCIUM | CALCIUM | 1 | UNK | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125702281 | 12570228 | 1 | Pain |
125702281 | 12570228 | 2 | Dyspepsia |
125702281 | 12570228 | 3 | Pain |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125702281 | 12570228 | Mental status changes |
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 |
---|---|---|---|---|---|---|
125702281 | 12570228 | 1 | 201405 | 2014 | 0 | |
125702281 | 12570228 | 3 | 1960 | 0 |