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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127151901 | 12715190 | 1 | I | 2010 | 20160829 | 20160905 | 20160905 | EXP | BR-ROCHE-1822887 | ROCHE | 0.00 | F | Y | 0.00000 | 20160906 | CN | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127151901 | 12715190 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Unknown | Y | RJ1000 | 17533 | .5 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127151901 | 12715190 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127151901 | 12715190 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127151901 | 12715190 | Agitation | |
| 127151901 | 12715190 | Blindness | |
| 127151901 | 12715190 | Dizziness | |
| 127151901 | 12715190 | Drug ineffective | |
| 127151901 | 12715190 | Fall | |
| 127151901 | 12715190 | Gait disturbance | |
| 127151901 | 12715190 | Gingival erythema | |
| 127151901 | 12715190 | Gingival pain | |
| 127151901 | 12715190 | Glossodynia | |
| 127151901 | 12715190 | Muscular weakness | |
| 127151901 | 12715190 | Pain in extremity | |
| 127151901 | 12715190 | Poor quality sleep | |
| 127151901 | 12715190 | Sinusitis | |
| 127151901 | 12715190 | Urinary incontinence | |
| 127151901 | 12715190 | Vertigo |
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 |
|---|---|---|---|---|---|---|
| 127151901 | 12715190 | 1 | 201608 | 0 |