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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125752421 | 12575242 | 1 | I | 20160621 | 20160713 | 20160720 | 20160720 | EXP | FR-JNJFOC-20160713506 | JANSSEN | 47.00 | YR | A | F | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125752421 | 12575242 | 1 | PS | IXPRIM | ACETAMINOPHENTRAMADOL HYDROCHLORIDE | 1 | Oral | U | U | 21123 | 16 | DF | FILM COATED TABLET | ||||||
| 125752421 | 12575242 | 2 | SS | XANAX | ALPRAZOLAM | 1 | Oral | U | 0 | 20 | DF | TABLETS | |||||||
| 125752421 | 12575242 | 3 | SS | VALIUM | DIAZEPAM | 1 | Oral | U | 0 | 20 | DF | TABLETS | |||||||
| 125752421 | 12575242 | 4 | SS | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | Oral | U | 0 | 54 | DF | TABLETS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125752421 | 12575242 | 1 | Product used for unknown indication |
| 125752421 | 12575242 | 2 | Product used for unknown indication |
| 125752421 | 12575242 | 3 | Product used for unknown indication |
| 125752421 | 12575242 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125752421 | 12575242 | HO |
| 125752421 | 12575242 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125752421 | 12575242 | Coma | |
| 125752421 | 12575242 | Intentional overdose | |
| 125752421 | 12575242 | Poisoning deliberate |
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 |
|---|---|---|---|---|---|---|
| 125752421 | 12575242 | 1 | 20160620 | 0 | ||
| 125752421 | 12575242 | 2 | 20160620 | 0 | ||
| 125752421 | 12575242 | 3 | 20160620 | 0 | ||
| 125752421 | 12575242 | 4 | 20160620 | 0 |