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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126506181 | 12650618 | 1 | I | 1991 | 20160810 | 20160815 | 20160815 | EXP | FR-ROCHE-1812585 | ROCHE | 45.00 | YR | F | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126506181 | 12650618 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Oral | 2.5 MG/ML | U | 17533 | |||||||||
| 126506181 | 12650618 | 2 | SS | MORPHINE | MORPHINE | 1 | Subcutaneous | 15 TO 20 MG | U | 0 | |||||||||
| 126506181 | 12650618 | 3 | C | CODEINE | CODEINE | 1 | 0 | ||||||||||||
| 126506181 | 12650618 | 4 | C | DUROGESIC | FENTANYL | 1 | 0 | ||||||||||||
| 126506181 | 12650618 | 5 | C | ZAMUDOL | TRAMADOL HYDROCHLORIDE | 1 | Unknown | 1 DOSE IN THE MORNING AND 1 DOSE IN THE EVENING | 0 | 150 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126506181 | 12650618 | 1 | Product used for unknown indication |
| 126506181 | 12650618 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126506181 | 12650618 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126506181 | 12650618 | Anxiety | |
| 126506181 | 12650618 | Drug dependence | |
| 126506181 | 12650618 | Insomnia |
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 |
|---|---|---|---|---|---|---|
| 126506181 | 12650618 | 1 | 2006 | 0 | ||
| 126506181 | 12650618 | 2 | 1985 | 0 |