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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126395791 | 12639579 | 1 | I | 20150308 | 0 | 20160809 | 20160809 | DIR | 22.00 | YR | M | N | 0.00000 | 20150308 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126395791 | 12639579 | 1 | PS | METHADONE | METHADONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126395791 | 12639579 | 2 | SS | MITRAGYNINE | MITRAGYNINE | 1 | 0 | ||||||||||||
| 126395791 | 12639579 | 3 | SS | ALPRAZOLAM. | ALPRAZOLAM | 1 | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126395791 | 12639579 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126395791 | 12639579 | Accidental death | |
| 126395791 | 12639579 | Puncture site reaction | |
| 126395791 | 12639579 | Respiratory arrest | |
| 126395791 | 12639579 | Scar | |
| 126395791 | 12639579 | Toxicity to various agents | |
| 126395791 | 12639579 | Unresponsive to stimuli |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126395791 | 12639579 | HP |
Therapies reported
| no results found |