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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126801732 | 12680173 | 2 | F | 20160916 | 20160824 | 20160929 | EXP | US-WEST-WARD PHARMACEUTICALS CORP.-US-H14001-16-01604 | WESTWARD | 0.00 | F | Y | 0.00000 | 20160929 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126801732 | 12680173 | 1 | PS | CODEINE | CODEINE | 1 | Unknown | D | 22402 | ||||||||||
| 126801732 | 12680173 | 2 | SS | CODEINE | CODEINE | 1 | Unknown | D | 22402 | ||||||||||
| 126801732 | 12680173 | 3 | SS | LITHIUM. | LITHIUM | 1 | Unknown | D | 17812 | ||||||||||
| 126801732 | 12680173 | 4 | SS | MORPHINE | MORPHINE | 1 | Unknown | D | 22207 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126801732 | 12680173 | 1 | Product used for unknown indication |
| 126801732 | 12680173 | 3 | Product used for unknown indication |
| 126801732 | 12680173 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126801732 | 12680173 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126801732 | 12680173 | Anaphylactic reaction |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |