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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126052821 | 12605282 | 1 | I | 20160722 | 20160729 | 20160729 | EXP | US-ROCHE-1801295 | ROCHE | 0.00 | Y | 0.00000 | 20160729 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126052821 | 12605282 | 1 | PS | VALIUM | DIAZEPAM | 1 | Unknown | U | 13263 | ||||||||||
| 126052821 | 12605282 | 2 | C | KLONOPIN | CLONAZEPAM | 1 | Unknown | ANXIETY Q4 HOURS PRO RE NATA (IF REQUIRED) | 17533 | 25 | MG | ||||||||
| 126052821 | 12605282 | 3 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | 0 | 50 | MG | QD | ||||||||
| 126052821 | 12605282 | 4 | C | OXYCODON | OXYCODONE | 1 | Unknown | 0 | |||||||||||
| 126052821 | 12605282 | 5 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126052821 | 12605282 | 1 | Product used for unknown indication |
| 126052821 | 12605282 | 2 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126052821 | 12605282 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126052821 | 12605282 | Diarrhoea | |
| 126052821 | 12605282 | Fibromyalgia |
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 |
|---|---|---|---|---|---|---|
| 126052821 | 12605282 | 4 | 20160427 | 0 |