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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126007001 | 12600700 | 1 | I | 20160504 | 20160715 | 20160727 | 20160727 | EXP | IT-MINISAL02-367451 | IT-FRI-1000086344 | FOREST | 74.42 | YR | F | Y | 0.00000 | 20160727 | MD | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126007001 | 12600700 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | Y | 21323 | TABLET | |||||||||
| 126007001 | 12600700 | 2 | SS | DELORAZEPAM | DELORAZEPAM | 1 | Oral | Y | 0 | TABLET | |||||||||
| 126007001 | 12600700 | 3 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 0 | TABLETS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126007001 | 12600700 | 1 | Drug abuse |
| 126007001 | 12600700 | 2 | Drug abuse |
| 126007001 | 12600700 | 3 | Atrial fibrillation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126007001 | 12600700 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126007001 | 12600700 | Drug abuse | |
| 126007001 | 12600700 | Sopor | |
| 126007001 | 12600700 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 126007001 | 12600700 | 1 | 20160504 | 20160504 | 0 | |
| 126007001 | 12600700 | 2 | 20160504 | 20160504 | 0 | |
| 126007001 | 12600700 | 3 | 20160504 | 20160504 | 0 |