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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127054741 | 12705474 | 1 | I | 20151102 | 20160825 | 20160901 | 20160901 | EXP | IT-ROCHE-1821216 | ROCHE | 24.68 | YR | F | Y | 0.00000 | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127054741 | 12705474 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Unknown | U | 17533 | ||||||||||
| 127054741 | 12705474 | 2 | SS | GABAPENTIN. | GABAPENTIN | 1 | Unknown | U | 0 | ||||||||||
| 127054741 | 12705474 | 3 | SS | CLOZAPINE. | CLOZAPINE | 1 | Unknown | U | 0 | ||||||||||
| 127054741 | 12705474 | 4 | SS | DEPAKIN | VALPROATE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 127054741 | 12705474 | 5 | SS | PROZIN (ITALY) | CHLORPROMAZINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 127054741 | 12705474 | 6 | SS | EN | DELORAZEPAM | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127054741 | 12705474 | 1 | Product used for unknown indication |
| 127054741 | 12705474 | 2 | Product used for unknown indication |
| 127054741 | 12705474 | 3 | Product used for unknown indication |
| 127054741 | 12705474 | 4 | Product used for unknown indication |
| 127054741 | 12705474 | 5 | Product used for unknown indication |
| 127054741 | 12705474 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127054741 | 12705474 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127054741 | 12705474 | Contusion | |
| 127054741 | 12705474 | Drug abuse | |
| 127054741 | 12705474 | Head injury | |
| 127054741 | 12705474 | Headache | |
| 127054741 | 12705474 | Intentional self-injury | |
| 127054741 | 12705474 | Vertigo |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |