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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125710782 | 12571078 | 2 | F | 20160627 | 20160822 | 20160719 | 20160830 | EXP | US-SHIRE-US201608357 | SHIRE | 58.28 | YR | F | Y | 0.00000 | 20160830 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125710782 | 12571078 | 1 | PS | VYVANSE | LISDEXAMFETAMINE DIMESYLATE | 1 | Oral | UNK, UNKNOWN | Y | U | 21977 | CAPSULE | |||||||
| 125710782 | 12571078 | 2 | SS | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | U | 0 | ||||||||
| 125710782 | 12571078 | 3 | SS | VALIUM | DIAZEPAM | 1 | Unknown | UNK, UNKNOWN | U | U | 0 | ||||||||
| 125710782 | 12571078 | 4 | SS | ATIVAN | LORAZEPAM | 1 | Unknown | UNK, UNKNOWN | U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125710782 | 12571078 | 1 | Product used for unknown indication |
| 125710782 | 12571078 | 2 | Product used for unknown indication |
| 125710782 | 12571078 | 3 | Product used for unknown indication |
| 125710782 | 12571078 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125710782 | 12571078 | OT |
| 125710782 | 12571078 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125710782 | 12571078 | Drug dependence | |
| 125710782 | 12571078 | Intentional overdose | |
| 125710782 | 12571078 | Pain |
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 |
|---|---|---|---|---|---|---|
| 125710782 | 12571078 | 2 | 20160627 | 0 | ||
| 125710782 | 12571078 | 3 | 20160627 | 0 | ||
| 125710782 | 12571078 | 4 | 20160627 | 0 |