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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126541011 | 12654101 | 1 | I | 20150102 | 0 | 20160815 | 20160815 | DIR | 57.00 | YR | F | N | 145.00000 | LBS | 20160812 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126541011 | 12654101 | 1 | PS | AMBIEN | ZOLPIDEM TARTRATE | 1 | Oral | 1 TABLET AT BEDTIME TAKEN BY MOUTH | Y | Y | 0 | 1 | DF | COATED TABLET | HS | ||||
| 126541011 | 12654101 | 3 | C | HYDROCODONE | HYDROCODONE | 1 | 0 | ||||||||||||
| 126541011 | 12654101 | 5 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126541011 | 12654101 | 7 | C | KNEE BRACE | 2 | 0 | |||||||||||||
| 126541011 | 12654101 | 9 | C | TENS UNIT | 2 | 0 | |||||||||||||
| 126541011 | 12654101 | 11 | C | BIOTIN | BIOTIN | 1 | 0 | ||||||||||||
| 126541011 | 12654101 | 13 | C | CALCIUM | CALCIUM | 1 | 0 | ||||||||||||
| 126541011 | 12654101 | 15 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 126541011 | 12654101 | 17 | C | DAILY COMPLETE VITAMIN | 2 | 0 | |||||||||||||
| 126541011 | 12654101 | 19 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126541011 | 12654101 | 1 | Insomnia |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126541011 | 12654101 | Abnormal behaviour | |
| 126541011 | 12654101 | Amnesia | |
| 126541011 | 12654101 | Somnambulism |
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 |
|---|---|---|---|---|---|---|
| 126541011 | 12654101 | 1 | 22 | MON |