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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126290261 | 12629026 | 1 | I | 20160620 | 20160803 | 20160808 | 20160808 | EXP | FR-ROCHE-1808897 | ROCHE | 26.00 | YR | F | Y | 0.00000 | 20160808 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126290261 | 12629026 | 1 | PS | VALIUM | DIAZEPAM | 1 | Intramuscular | Y | 13263 | 15 | MG | SOLUTION FOR INJECTION | 1X | ||||||
| 126290261 | 12629026 | 2 | SS | MIDAZOLAM | MIDAZOLAMMIDAZOLAM HYDROCHLORIDE | 1 | Intramuscular | Y | 0 | 5.5 | MG | SOLUTION FOR INJECTION | 1X | ||||||
| 126290261 | 12629026 | 3 | SS | TRANXENE T-TAB | CLORAZEPATE DIPOTASSIUM | 1 | Intravenous (not otherwise specified) | Y | 0 | 50 | MG | TID | |||||||
| 126290261 | 12629026 | 4 | SS | PROPOFOL. | PROPOFOL | 1 | Intravenous bolus | Y | 0 | ||||||||||
| 126290261 | 12629026 | 5 | SS | LOXAPAC | LOXAPINE SUCCINATE | 1 | Intramuscular | Y | 0 | 50 | MG | SOLUTION FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126290261 | 12629026 | 1 | Product used for unknown indication |
| 126290261 | 12629026 | 2 | Product used for unknown indication |
| 126290261 | 12629026 | 3 | Product used for unknown indication |
| 126290261 | 12629026 | 4 | Product used for unknown indication |
| 126290261 | 12629026 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126290261 | 12629026 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126290261 | 12629026 | Coma |
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 |
|---|---|---|---|---|---|---|
| 126290261 | 12629026 | 1 | 20160620 | 20160620 | 0 | |
| 126290261 | 12629026 | 2 | 20160620 | 20160620 | 0 | |
| 126290261 | 12629026 | 3 | 20160620 | 20160620 | 0 | |
| 126290261 | 12629026 | 4 | 20160620 | 20160620 | 0 | |
| 126290261 | 12629026 | 5 | 20160620 | 20160620 | 0 |