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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125728951 | 12572895 | 1 | I | 20160625 | 20160718 | 20160720 | 20160720 | EXP | FR-ROCHE-1797554 | ROCHE | 30.00 | YR | M | Y | 0.00000 | 20160720 | MD | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125728951 | 12572895 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | U | 13263 | TABLET | |||||||||
| 125728951 | 12572895 | 2 | SS | DOLOPHINE | METHADONE HYDROCHLORIDE | 1 | Oral | U | 0 | ||||||||||
| 125728951 | 12572895 | 3 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | Oral | 0 | 50 | MG | CAPSULE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125728951 | 12572895 | 1 | Product used for unknown indication |
| 125728951 | 12572895 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125728951 | 12572895 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125728951 | 12572895 | Bradypnoea | |
| 125728951 | 12572895 | Coma | |
| 125728951 | 12572895 | Hypotension |
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 |
|---|---|---|---|---|---|---|
| 125728951 | 12572895 | 1 | 20160625 | 0 | ||
| 125728951 | 12572895 | 2 | 20160625 | 0 |