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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126125901 | 12612590 | 1 | I | 2015 | 20160726 | 20160801 | 20160801 | EXP | GB-LEHIGH_VALLEY-USA-POI0580201600102 | LEHIGH VALLEY TECH | 46.00 | YR | M | Y | 0.00000 | 20160801 | CN | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126125901 | 12612590 | 1 | PS | Oxycodone HCl Capsules | OXYCODONE HYDROCHLORIDE | 1 | 200534 | ||||||||||||
| 126125901 | 12612590 | 2 | C | AMITRIPTYLINE | AMITRIPTYLINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126125901 | 12612590 | 1 | Pain in extremity |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126125901 | 12612590 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126125901 | 12612590 | Pulmonary congestion | |
| 126125901 | 12612590 | Respiratory depression | |
| 126125901 | 12612590 | 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 |
|---|---|---|---|---|---|---|
| 126125901 | 12612590 | 1 | 2015 | 0 | ||
| 126125901 | 12612590 | 2 | 2015 | 0 |