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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126036982 | 12603698 | 2 | F | 20160722 | 20160808 | 20160728 | 20160817 | EXP | IT-JNJFOC-20160720586 | JANSSEN | 37.00 | YR | A | M | Y | 0.00000 | 20160817 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126036982 | 12603698 | 1 | PS | SPORANOX | ITRACONAZOLE | 1 | Oral | U | U | 20083 | 100 | MG | CAPSULES | ||||||
| 126036982 | 12603698 | 2 | SS | DOMPERIDONE | DOMPERIDONE | 1 | Oral | U | U | 0 | 10 | MG | TABLETS | ||||||
| 126036982 | 12603698 | 3 | SS | XANAX | ALPRAZOLAM | 1 | Oral | 0.75 MG/ML (20 ML) | U | 0 | ORAL DROPS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126036982 | 12603698 | 1 | Product used for unknown indication |
| 126036982 | 12603698 | 2 | Product used for unknown indication |
| 126036982 | 12603698 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126036982 | 12603698 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126036982 | 12603698 | Intentional overdose | |
| 126036982 | 12603698 | Intentional product misuse | |
| 126036982 | 12603698 | Intentional self-injury | |
| 126036982 | 12603698 | Sopor |
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 |
|---|---|---|---|---|---|---|
| 126036982 | 12603698 | 1 | 20160722 | 20160722 | 0 | |
| 126036982 | 12603698 | 2 | 20160722 | 20160722 | 0 | |
| 126036982 | 12603698 | 3 | 20160722 | 20160722 | 0 |