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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126016301 | 12601630 | 1 | I | 20160726 | 20160728 | 20160728 | EXP | FR-ROCHE-1803283 | ROCHE | 44.00 | YR | M | Y | 0.00000 | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126016301 | 12601630 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | U | 13263 | 10 | MG | TABLET | |||||||
| 126016301 | 12601630 | 2 | SS | HYPNOVEL (UNSPEC) | MIDAZOLAMMIDAZOLAM HYDROCHLORIDE | 1 | Nasal | U | 0 | ||||||||||
| 126016301 | 12601630 | 3 | SS | SUBUTEX | BUPRENORPHINE HYDROCHLORIDE | 1 | Oral | U | 0 | 2 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126016301 | 12601630 | 1 | Product used for unknown indication |
| 126016301 | 12601630 | 2 | Product used for unknown indication |
| 126016301 | 12601630 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126016301 | 12601630 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126016301 | 12601630 | Accidental overdose | |
| 126016301 | 12601630 | Alcohol use | |
| 126016301 | 12601630 | Psychomotor hyperactivity | |
| 126016301 | 12601630 | Somnolence | |
| 126016301 | 12601630 | Toxicity to various agents |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |