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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126995671 | 12699567 | 1 | I | 20160303 | 20160823 | 20160830 | 20160830 | EXP | FR-AFSSAPS-TO20161729 | FR-FRI-1000087142 | FOREST | 50.00 | YR | F | Y | 0.00000 | 20160830 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126995671 | 12699567 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | Y | 21323 | 14 | DF | ||||||||
| 126995671 | 12699567 | 2 | SS | TERCIAN | CYAMEMAZINE | 1 | Oral | Y | 0 | 12 | DF | ||||||||
| 126995671 | 12699567 | 3 | SS | SERESTA | OXAZEPAM | 1 | Oral | Y | 0 | 26 | DF | ||||||||
| 126995671 | 12699567 | 4 | SS | ADVIL | IBUPROFEN | 1 | Oral | Y | 0 | 2 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126995671 | 12699567 | 1 | Intentional overdose |
| 126995671 | 12699567 | 2 | Intentional overdose |
| 126995671 | 12699567 | 3 | Intentional overdose |
| 126995671 | 12699567 | 4 | Intentional overdose |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126995671 | 12699567 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126995671 | 12699567 | Poisoning deliberate | |
| 126995671 | 12699567 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 126995671 | 12699567 | 1 | 20160303 | 20160303 | 0 | |
| 126995671 | 12699567 | 2 | 20160303 | 20160303 | 0 | |
| 126995671 | 12699567 | 3 | 20160303 | 20160303 | 0 | |
| 126995671 | 12699567 | 4 | 20160303 | 20160303 | 0 |