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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126113221 | 12611322 | 1 | I | 20160718 | 20160801 | 20160801 | EXP | CA-HEALTH CANADA-000675974 | CA-FRI-1000086501 | FOREST | 59.00 | YR | F | Y | 0.00000 | 20160801 | OT | DK | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126113221 | 12611322 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 5 MG | U | 21323 | 5 | MG | TABLET | QD | |||||
| 126113221 | 12611322 | 2 | SS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 10 MG | U | 21323 | 10 | MG | TABLET | QD | |||||
| 126113221 | 12611322 | 3 | C | ANTICOAGULANTS | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 126113221 | 12611322 | 4 | C | HEART MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 126113221 | 12611322 | 5 | C | MEDICATION FOR REFLUX | 2 | 0 | |||||||||||||
| 126113221 | 12611322 | 6 | C | ZOPICLONE | ZOPICLONE | 1 | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126113221 | 12611322 | 1 | Depression |
| 126113221 | 12611322 | 3 | Product used for unknown indication |
| 126113221 | 12611322 | 4 | Product used for unknown indication |
| 126113221 | 12611322 | 5 | Product used for unknown indication |
| 126113221 | 12611322 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126113221 | 12611322 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126113221 | 12611322 | Eye pain | |
| 126113221 | 12611322 | Headache | |
| 126113221 | 12611322 | Pain in jaw |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |