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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126731731 | 12673173 | 1 | I | 20160811 | 20160808 | 20160822 | 20160822 | EXP | US-ALKERMES INC.-ALK-2016-002167 | ALKERMES | 58.41 | YR | M | Y | 0.00000 | 20160822 | CN | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126731731 | 12673173 | 1 | PS | VIVITROL | NALTREXONE | 1 | Intramuscular | 380 MG, QMO | 21897 | 380 | MG | INJECTION | |||||||
| 126731731 | 12673173 | 2 | SS | NEURONTIN | GABAPENTIN | 1 | 1 DF, UNK | U | 0 | 1 | DF | ||||||||
| 126731731 | 12673173 | 3 | C | OTHER THERAPEUTIC PRODUCTS (Blood ) | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126731731 | 12673173 | 1 | Alcoholism |
| 126731731 | 12673173 | 2 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126731731 | 12673173 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126731731 | 12673173 | Drug hypersensitivity | |
| 126731731 | 12673173 | Injection site pain | |
| 126731731 | 12673173 | Injection site reaction | |
| 126731731 | 12673173 | Pain | |
| 126731731 | 12673173 | Surgery |
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 |
|---|---|---|---|---|---|---|
| 126731731 | 12673173 | 1 | 20160714 | 0 |