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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126136982 | 12613698 | 2 | F | 20160714 | 20160801 | 20160802 | 20160816 | EXP | US-ADAPT PHARMA INC-2016ADP00017 | ADAPT PHARMA | 33.00 | YR | M | Y | 0.00000 | 20160811 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126136982 | 12613698 | 1 | PS | NARCAN | NALOXONE HYDROCHLORIDE | 1 | Nasal | 4 MG, ONCE | 501788 | 208411 | 4 | MG | NASAL SPRAY | ||||||
| 126136982 | 12613698 | 2 | SS | HEROIN | DIACETYLMORPHINE | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 126136982 | 12613698 | 3 | SS | XANAX | ALPRAZOLAM | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 126136982 | 12613698 | 4 | SS | ETHANOL | ALCOHOL | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 126136982 | 12613698 | 5 | C | UNSPECIFIED PILLS | UNSPECIFIED INGREDIENT | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126136982 | 12613698 | 1 | Overdose |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126136982 | 12613698 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126136982 | 12613698 | Drug ineffective |
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 |
|---|---|---|---|---|---|---|
| 126136982 | 12613698 | 1 | 20160714 | 20160714 | 0 | |
| 126136982 | 12613698 | 2 | 20160714 | 0 | ||
| 126136982 | 12613698 | 3 | 20160714 | 0 | ||
| 126136982 | 12613698 | 4 | 20160714 | 0 |