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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126393321 | 12639332 | 1 | I | 20150719 | 0 | 20160809 | 20160809 | DIR | 23.00 | YR | M | N | 0.00000 | 20150911 | N | OT | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126393321 | 12639332 | 1 | PS | MORPHINE | MORPHINE | 1 | 0 | ||||||||||||
126393321 | 12639332 | 2 | SS | ALCOHOL (ETHANOL) | ALCOHOL | 1 | 0 | ||||||||||||
126393321 | 12639332 | 3 | SS | MITRAGYNINE | MITRAGYNINE | 1 | 0 | ||||||||||||
126393321 | 12639332 | 4 | SS | CHLORDIAZEPOXIDE. | CHLORDIAZEPOXIDE | 1 | 0 | ||||||||||||
126393321 | 12639332 | 5 | SS | CITALOPRAM | CITALOPRAM HYDROBROMIDE | 1 | 0 | ||||||||||||
126393321 | 12639332 | 6 | SS | DEMOXEPAM. | DEMOXEPAM | 1 | 0 | ||||||||||||
126393321 | 12639332 | 7 | SS | NORDIAZEPAM | NORDAZEPAM | 1 | 0 | ||||||||||||
126393321 | 12639332 | 8 | SS | ALPRAZOLAM. | ALPRAZOLAM | 1 | 0 |
Indications of drugs used
no results found |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126393321 | 12639332 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126393321 | 12639332 | Accidental death | |
126393321 | 12639332 | Alcohol poisoning | |
126393321 | 12639332 | Injury associated with device | |
126393321 | 12639332 | Toxicity to various agents |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |