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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127193501 | 12719350 | 1 | I | 20160812 | 20160905 | 20160907 | 20160907 | EXP | IT-ROCHE-1826396 | ROCHE | 58.93 | YR | M | Y | 0.00000 | 20160907 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127193501 | 12719350 | 1 | PS | VALIUM | DIAZEPAM | 1 | Oral | 5 MG/ML ORAL DROPS, SOLUTION 20 ML BOTTLE | 13263 | 20 | ML | ORAL SOLUTION | |||||||
| 127193501 | 12719350 | 2 | SS | XANAX | ALPRAZOLAM | 1 | Oral | 0.75 MG/ML ORAL DROPS, SOLUTION 20 ML BOTTLE | 0 | 20 | ML | ORAL SOLUTION | QD | ||||||
| 127193501 | 12719350 | 3 | C | PANTOPRAZOLE SODIUM. | PANTOPRAZOLE SODIUM | 1 | Oral | 0 | |||||||||||
| 127193501 | 12719350 | 4 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | Oral | 0 | |||||||||||
| 127193501 | 12719350 | 5 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | Oral | 50 MG HARD CAPSULES 15 CAPSULES | 0 | CAPSULE | |||||||||
| 127193501 | 12719350 | 6 | C | GAVISCON (ITALY) | 2 | Oral | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127193501 | 12719350 | 1 | Suicide attempt |
| 127193501 | 12719350 | 2 | Suicide attempt |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127193501 | 12719350 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127193501 | 12719350 | Drug abuse | |
| 127193501 | 12719350 | Suicide attempt | |
| 127193501 | 12719350 | 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 |
|---|---|---|---|---|---|---|
| 127193501 | 12719350 | 1 | 20160812 | 20160812 | 0 | |
| 127193501 | 12719350 | 2 | 20160812 | 20160812 | 0 |