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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126762701 | 12676270 | 1 | I | 20160704 | 0 | 20160822 | 20160822 | DIR | 57.00 | YR | F | N | 123.00000 | LBS | 20160815 | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126762701 | 12676270 | 1 | PS | SOMA | CARISOPRODOL | 1 | 0 | ||||||||||||
| 126762701 | 12676270 | 2 | SS | ATIVAN | LORAZEPAM | 1 | 0 | ||||||||||||
| 126762701 | 12676270 | 4 | C | INSULIN | INSULIN NOS | 1 | 0 | ||||||||||||
| 126762701 | 12676270 | 6 | C | THYROID PILLS | 2 | 0 | |||||||||||||
| 126762701 | 12676270 | 8 | C | GOODYS POWDER | 2 | 0 | |||||||||||||
| 126762701 | 12676270 | 9 | SS | ATIVAN | LORAZEPAM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126762701 | 12676270 | 1 | Muscle relaxant therapy |
| 126762701 | 12676270 | 2 | Muscle relaxant therapy |
| 126762701 | 12676270 | 2 | Panic reaction |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126762701 | 12676270 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126762701 | 12676270 | Abasia | |
| 126762701 | 12676270 | Diabetic coma | |
| 126762701 | 12676270 | Dysphagia | |
| 126762701 | 12676270 | Intestinal obstruction | |
| 126762701 | 12676270 | Myocardial infarction | |
| 126762701 | 12676270 | Pneumonia | |
| 126762701 | 12676270 | Product use issue | |
| 126762701 | 12676270 | Venous thrombosis limb |
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 |
|---|---|---|---|---|---|---|
| 126762701 | 12676270 | 1 | 20160704 | 0 |