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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126829894 | 12682989 | 4 | F | 20160816 | 20160908 | 20160825 | 20160912 | EXP | IT-ROCHE-1819505 | ROCHE | 52.76 | YR | F | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126829894 | 12682989 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Oral | 0.5 MG TABLETS 20 TABLETS | 17533 | .5 | MG | TABLET | QD | ||||||
| 126829894 | 12682989 | 2 | SS | MIRTAZAPINE. | MIRTAZAPINE | 1 | Oral | 0 | 30 | MG | TABLET | QD | |||||||
| 126829894 | 12682989 | 3 | SS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 14 CAPSULE | 0 | 75 | MG | QD | |||||||
| 126829894 | 12682989 | 4 | SS | EN | DELORAZEPAM | 1 | Oral | 2 MG TABLETS 20 TABLETS | 0 | 2 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126829894 | 12682989 | 1 | Major depression |
| 126829894 | 12682989 | 2 | Major depression |
| 126829894 | 12682989 | 3 | Major depression |
| 126829894 | 12682989 | 4 | Major depression |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126829894 | 12682989 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126829894 | 12682989 | Drug abuse | |
| 126829894 | 12682989 | Intentional self-injury | |
| 126829894 | 12682989 | Road traffic accident | |
| 126829894 | 12682989 | Sternal injury |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |