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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126220133 | 12622013 | 3 | F | 20160704 | 20160803 | 20160804 | 20160811 | EXP | FR-AFSSAPS-NT20160872 | FR-FRI-1000086555 | FOREST | 45.20 | YR | F | Y | 0.00000 | 20160811 | OT | DK | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126220133 | 12622013 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | U | 21323 | 150 | MG | FILM-COATED TABLET | |||||||
| 126220133 | 12622013 | 2 | SS | LYSANXIA | PRAZEPAM | 1 | Oral | U | 0 | 30 | DF | ||||||||
| 126220133 | 12622013 | 3 | C | LEVOTHYROX | LEVOTHYROXINE | 1 | Unknown | 125 MCG | 0 | 125 | UG | QD | |||||||
| 126220133 | 12622013 | 4 | C | INEXIUM | ESOMEPRAZOLE | 1 | Unknown | 40 MG | 0 | 40 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126220133 | 12622013 | 1 | Poisoning deliberate |
| 126220133 | 12622013 | 2 | Poisoning deliberate |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126220133 | 12622013 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126220133 | 12622013 | Intentional overdose | |
| 126220133 | 12622013 | Multiple fractures | |
| 126220133 | 12622013 | Pneumothorax traumatic | |
| 126220133 | 12622013 | Road traffic accident | |
| 126220133 | 12622013 | Subcutaneous emphysema |
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 |
|---|---|---|---|---|---|---|
| 126220133 | 12622013 | 1 | 20160704 | 0 | ||
| 126220133 | 12622013 | 2 | 20160704 | 0 |