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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126376261 | 12637626 | 1 | I | 199409 | 19940919 | 20160809 | 20160809 | PER | US-ABBVIE-94P-163-0040244-00 | ABBVIE | 25.00 | YR | M | Y | 74.91000 | KG | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126376261 | 12637626 | 1 | PS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Oral | Y | UNKNOWN | 18723 | 2 | G | |||||||
| 126376261 | 12637626 | 2 | SS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Y | UNKNOWN | 18723 | ||||||||||
| 126376261 | 12637626 | 3 | SS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Y | UNKNOWN | 18723 | ||||||||||
| 126376261 | 12637626 | 4 | SS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Y | UNKNOWN | 18723 | ||||||||||
| 126376261 | 12637626 | 5 | SS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Y | UNKNOWN | 18723 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126376261 | 12637626 | 1 | Cluster headache |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126376261 | 12637626 | Anxiety | |
| 126376261 | 12637626 | Drug level increased | |
| 126376261 | 12637626 | Frustration tolerance decreased | |
| 126376261 | 12637626 | Incorrect dose administered | |
| 126376261 | 12637626 | Malaise | |
| 126376261 | 12637626 | Off label use | |
| 126376261 | 12637626 | Pain | |
| 126376261 | 12637626 | Stress | |
| 126376261 | 12637626 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 126376261 | 12637626 | 1 | 199403 | 0 |