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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126146491 | 12614649 | 1 | I | 201602 | 20160218 | 20160802 | 20160802 | PER | US-JAZZ-2016-US-003196 | JAZZ | 19.71 | YR | M | Y | 0.00000 | 20160802 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126146491 | 12614649 | 1 | PS | XYREM | SODIUM OXYBATE | 1 | Oral | 1 G, BID | 21196 | 1 | G | ORAL SOLUTION | |||||||
126146491 | 12614649 | 2 | SS | XYREM | SODIUM OXYBATE | 1 | Oral | 2 G, BID | 21196 | 2 | G | ORAL SOLUTION | |||||||
126146491 | 12614649 | 3 | SS | XYREM | SODIUM OXYBATE | 1 | Oral | 3 G, BID | 21196 | 3 | G | ORAL SOLUTION | |||||||
126146491 | 12614649 | 4 | SS | PROVIGIL | MODAFINIL | 1 | UNK | U | U | 0 | TABLET | ||||||||
126146491 | 12614649 | 5 | C | IBUPROFEN. | IBUPROFEN | 1 | U | 0 | |||||||||||
126146491 | 12614649 | 6 | C | ADDERALL | AMPHETAMINE ASPARTATEAMPHETAMINE SULFATEDEXTROAMPHETAMINE SACCHARATEDEXTROAMPHETAMINE SULFATE | 1 | UNK | U | 0 | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126146491 | 12614649 | 1 | Narcolepsy |
126146491 | 12614649 | 4 | Product used for unknown indication |
126146491 | 12614649 | 5 | Product used for unknown indication |
126146491 | 12614649 | 6 | Product used for unknown indication |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126146491 | 12614649 | Anxiety |
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 |
---|---|---|---|---|---|---|
126146491 | 12614649 | 1 | 201602 | 201602 | 0 | |
126146491 | 12614649 | 2 | 201602 | 201602 | 0 | |
126146491 | 12614649 | 3 | 201602 | 0 | ||
126146491 | 12614649 | 6 | 20160101 | 0 |