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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126541111 | 12654111 | 1 | I | 20130123 | 0 | 20160815 | 20160815 | DIR | 58.00 | YR | M | N | 200.00000 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126541111 | 12654111 | 1 | PS | KLONOPIN | CLONAZEPAM | 1 | Oral | EVERY 12 HOURS | N | D | 0 | Q12H |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126541111 | 12654111 | 1 | Anxiety |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126541111 | 12654111 | OT |
126541111 | 12654111 | LT |
126541111 | 12654111 | HO |
126541111 | 12654111 | DS |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126541111 | 12654111 | Anxiety | |
126541111 | 12654111 | Depression | |
126541111 | 12654111 | Intentional self-injury | |
126541111 | 12654111 | Suicide attempt |
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 |
---|---|---|---|---|---|---|
126541111 | 12654111 | 1 | 20120301 | 20130120 | 0 |