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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126753032 | 12675303 | 2 | F | 20160812 | 20160908 | 20160823 | 20160912 | EXP | IT-ROCHE-1817996 | ROCHE | 29.96 | YR | F | Y | 0.00000 | 20160909 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126753032 | 12675303 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | 5 MG/ML ORAL DROPS, SOLUTION 20 ML BOTTLE | U | 13263 | 20 | ML | ORAL SOLUTION | 1X | |||||
| 126753032 | 12675303 | 2 | SS | IMOVANE | ZOPICLONE | 1 | Oral | 7.5 MG FILM-COATED TABLETS 20 SCORED TABLETS | U | 0 | 18 | DF | TABLET | 1X | |||||
| 126753032 | 12675303 | 3 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126753032 | 12675303 | 4 | C | DEPAKIN | VALPROATE SODIUM | 1 | 0 | ||||||||||||
| 126753032 | 12675303 | 5 | C | SEROQUEL | QUETIAPINE FUMARATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126753032 | 12675303 | 1 | Suicide attempt |
| 126753032 | 12675303 | 2 | Suicide attempt |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126753032 | 12675303 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126753032 | 12675303 | Asthenia | |
| 126753032 | 12675303 | Drug abuse | |
| 126753032 | 12675303 | Intentional self-injury |
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 |
|---|---|---|---|---|---|---|
| 126753032 | 12675303 | 1 | 20160812 | 20160812 | 0 | |
| 126753032 | 12675303 | 2 | 20160812 | 20160812 | 0 |