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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126218001 | 12621800 | 1 | I | 20160618 | 20160729 | 20160804 | 20160804 | EXP | FR-MUNDIPHARMA DS AND PHARMACOVIGILANCE-GBR-2016-0039498 | PURDUE | 18.00 | YR | M | Y | 0.00000 | 20160802 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126218001 | 12621800 | 1 | PS | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | U | 22272 | PROLONGED-RELEASE TABLET | |||||||||
| 126218001 | 12621800 | 2 | SS | ETHANOL | ALCOHOL | 1 | Unknown | U | U | 0 | |||||||||
| 126218001 | 12621800 | 3 | SS | CANNABIS | CANNABIS SATIVA SUBSP. INDICA TOP | 1 | Unknown | U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126218001 | 12621800 | 1 | Product used for unknown indication |
| 126218001 | 12621800 | 2 | Product used for unknown indication |
| 126218001 | 12621800 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126218001 | 12621800 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126218001 | 12621800 | Cardiogenic shock | |
| 126218001 | 12621800 | Coma | |
| 126218001 | 12621800 | Miosis |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |