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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126846731 | 12684673 | 1 | I | 20160525 | 20160816 | 20160825 | 20160825 | EXP | FR-AFSSAPS-PC20160461 | FR-FRI-1000087005 | FOREST | 62.57 | YR | M | Y | 85.00000 | KG | 20160825 | OT | DK | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126846731 | 12684673 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 10 MG | Y | 21323 | 10 | MG | FILM-COATED TABLET | QD | |||||
| 126846731 | 12684673 | 2 | C | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 0 | |||||||||||
| 126846731 | 12684673 | 3 | C | NOVORAPID | INSULIN ASPART | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126846731 | 12684673 | 1 | Depression |
| 126846731 | 12684673 | 2 | Type 1 diabetes mellitus |
| 126846731 | 12684673 | 3 | Type 1 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126846731 | 12684673 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126846731 | 12684673 | Amnesia | |
| 126846731 | 12684673 | Balance disorder | |
| 126846731 | 12684673 | Confusional state | |
| 126846731 | 12684673 | Dysstasia | |
| 126846731 | 12684673 | Time perception altered |
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 |
|---|---|---|---|---|---|---|
| 126846731 | 12684673 | 1 | 20160515 | 20160610 | 0 |