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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126704921 | 12670492 | 1 | I | 20160522 | 20160818 | 20160822 | 20160822 | EXP | IT-ROCHE-1816829 | ROCHE | 49.93 | YR | F | Y | 0.00000 | 20160822 | OT | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126704921 | 12670492 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | 5 MG/ML, 20 ML BOTTLE | U | N05BA01 | 13263 | 10 | GTT | ||||||
| 126704921 | 12670492 | 2 | SS | Lexotan | BROMAZEPAM | 1 | Oral | 2.5 MG/ML, 20 ML BOTTLE | U | N05BA08 | 0 | 10 | GTT | ||||||
| 126704921 | 12670492 | 3 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Oral | 0 | 50 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126704921 | 12670492 | 1 | Product used for unknown indication |
| 126704921 | 12670492 | 2 | Product used for unknown indication |
| 126704921 | 12670492 | 3 | Depression |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126704921 | 12670492 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126704921 | 12670492 | Antidepressant drug level | |
| 126704921 | 12670492 | Anxiety | |
| 126704921 | 12670492 | Drug abuse | |
| 126704921 | 12670492 | Sopor |
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 |
|---|---|---|---|---|---|---|
| 126704921 | 12670492 | 1 | 20160522 | 20160522 | 0 | |
| 126704921 | 12670492 | 2 | 20160522 | 20160522 | 0 |