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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996831 | 12599683 | 1 | I | 20150803 | 20150902 | 20160727 | 20160727 | PER | US-SA-2015SA135895 | AVENTIS | 47.00 | YR | A | F | Y | 0.00000 | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125996831 | 12599683 | 1 | PS | AMBIEN | ZOLPIDEM TARTRATE | 1 | Unknown | UNKNOWN | 19908 | ||||||||||
| 125996831 | 12599683 | 2 | I | LUPRON | LEUPROLIDE ACETATE | 1 | Intramuscular | DAILY DOSE: 3.75 MG,1 IN 1 M | UNKNOWN | 0 | INJECTION | QD |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125996831 | 12599683 | Asthenia | |
| 125996831 | 12599683 | Confusional state | |
| 125996831 | 12599683 | Decreased appetite | |
| 125996831 | 12599683 | Dizziness | |
| 125996831 | 12599683 | Drug interaction | |
| 125996831 | 12599683 | Dry mouth | |
| 125996831 | 12599683 | Insomnia | |
| 125996831 | 12599683 | Urine output decreased | |
| 125996831 | 12599683 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 125996831 | 12599683 | 2 | 201505 | 0 |