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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127042121 | 12704212 | 1 | I | 20160609 | 20160826 | 20160831 | 20160831 | EXP | US-MUNDIPHARMA DS AND PHARMACOVIGILANCE-USA-2016-0133235 | PURDUE | 0.00 | A | M | Y | 0.00000 | 20160831 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127042121 | 12704212 | 1 | PS | Morphine Sulfate (similar to NDA 19-516) | MORPHINE SULFATE | 1 | Oral | U | UNKNOWN | 2147483647 | |||||||||
| 127042121 | 12704212 | 2 | SS | Oxycodone Hydrochloride (similar to NDA 22-272) | OXYCODONE HYDROCHLORIDE | 1 | Oral | U | UNKNOWN | 0 | |||||||||
| 127042121 | 12704212 | 3 | SS | OXYMORPHONE | OXYMORPHONE | 1 | Oral | U | UNKNOWN | 0 | |||||||||
| 127042121 | 12704212 | 4 | SS | CODEINE | CODEINE | 1 | Oral | U | U | UNKNOWN | 0 | ||||||||
| 127042121 | 12704212 | 5 | SS | FENTANYL. | FENTANYL | 1 | Unknown | U | UNKNOWN | 0 | |||||||||
| 127042121 | 12704212 | 6 | SS | KETAMINE | KETAMINE | 1 | Unknown | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127042121 | 12704212 | 1 | Product used for unknown indication |
| 127042121 | 12704212 | 2 | Product used for unknown indication |
| 127042121 | 12704212 | 3 | Product used for unknown indication |
| 127042121 | 12704212 | 4 | Product used for unknown indication |
| 127042121 | 12704212 | 5 | Product used for unknown indication |
| 127042121 | 12704212 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127042121 | 12704212 | OT |
| 127042121 | 12704212 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127042121 | 12704212 | Drug abuse | |
| 127042121 | 12704212 | Gun shot wound |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |