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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126675881 | 12667588 | 1 | I | 2007 | 20160810 | 20160819 | 20160819 | EXP | FR-INDIVIOR LIMITED-INDV-093764-2016 | INDIVIOR | 55.00 | YR | M | Y | 0.00000 | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126675881 | 12667588 | 1 | PS | SUBUTEX | BUPRENORPHINE HYDROCHLORIDE | 1 | Nasal | UNK | U | UNKNOWN | 20732 | SUBLINGUAL TABLET | |||||||
| 126675881 | 12667588 | 2 | SS | VALIUM | DIAZEPAM | 1 | Buccal | 10 MG, UNK | U | 0 | |||||||||
| 126675881 | 12667588 | 3 | SS | CANNABIS | CANNABIS SATIVA SUBSP. INDICA TOP | 1 | Unknown | UNK | U | 0 | |||||||||
| 126675881 | 12667588 | 4 | SS | ALCOHOL. | ALCOHOL | 1 | Unknown | UNK | U | 0 | |||||||||
| 126675881 | 12667588 | 5 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | UNK | 0 | ||||||||||
| 126675881 | 12667588 | 6 | C | CORTANCYL | PREDNISONE | 1 | Unknown | UNK | 0 | ||||||||||
| 126675881 | 12667588 | 7 | C | AERIUS | DESLORATADINE | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126675881 | 12667588 | 1 | Product used for unknown indication |
| 126675881 | 12667588 | 2 | Product used for unknown indication |
| 126675881 | 12667588 | 3 | Product used for unknown indication |
| 126675881 | 12667588 | 4 | Product used for unknown indication |
| 126675881 | 12667588 | 5 | Product used for unknown indication |
| 126675881 | 12667588 | 6 | Product used for unknown indication |
| 126675881 | 12667588 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126675881 | 12667588 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126675881 | 12667588 | Alcoholism | |
| 126675881 | 12667588 | Drug dependence | |
| 126675881 | 12667588 | Intentional product use issue |
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 |
|---|---|---|---|---|---|---|
| 126675881 | 12667588 | 1 | 2007 | 0 | ||
| 126675881 | 12667588 | 2 | 2014 | 0 |