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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127096471 | 12709647 | 1 | I | 20160830 | 20160902 | 20160902 | EXP | US-JNJFOC-20160827045 | JANSSEN | 11.00 | YR | C | M | Y | 0.00000 | 20160902 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127096471 | 12709647 | 1 | PS | TOPAMAX | TOPIRAMATE | 1 | Oral | U | U | 20505 | UNSPECIFIED | ||||||||
| 127096471 | 12709647 | 2 | SS | ONFI | CLOBAZAM | 1 | Unknown | 0 | 10 | MG | TABLET | BID | |||||||
| 127096471 | 12709647 | 3 | SS | DEPAKOTE | DIVALPROEX SODIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 127096471 | 12709647 | 4 | SS | CARNITINE | CARNITINE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 127096471 | 12709647 | 5 | SS | DIAZEPAM. | DIAZEPAM | 1 | Unknown | U | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127096471 | 12709647 | 1 | Product used for unknown indication |
| 127096471 | 12709647 | 2 | Epilepsy |
| 127096471 | 12709647 | 3 | Product used for unknown indication |
| 127096471 | 12709647 | 4 | Product used for unknown indication |
| 127096471 | 12709647 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127096471 | 12709647 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127096471 | 12709647 | Intentional self-injury |
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 |
|---|---|---|---|---|---|---|
| 127096471 | 12709647 | 2 | 2013 | 0 |