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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127309341 | 12730934 | 1 | I | 20160717 | 0 | 20160908 | 20160908 | DIR | FDA-CTU | 47.00 | YR | F | N | 201.00000 | LBS | 20160816 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127309341 | 12730934 | 1 | PS | KEPPRA | LEVETIRACETAM | 1 | Oral | Y | 203629 | 20170808 | 0 | 2 | DF | COATED TABLET | BID | ||||
| 127309341 | 12730934 | 3 | C | ZOSYN | PIPERACILLIN SODIUMTAZOBACTAM SODIUM | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 5 | C | VANCOMYCIN | VANCOMYCIN | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 7 | C | DOXYCYCLINE. | DOXYCYCLINE | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 9 | C | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 11 | C | LINEZOLID. | LINEZOLID | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 13 | C | OXYCODONE | OXYCODONE | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 15 | C | SENNA | SENNA LEAFSENNOSIDESSENNOSIDES A AND B | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 17 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 19 | C | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127309341 | 12730934 | 21 | C | NUEROCORD STIMULATOR | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127309341 | 12730934 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127309341 | 12730934 | DS |
| 127309341 | 12730934 | HO |
| 127309341 | 12730934 | LT |
| 127309341 | 12730934 | RI |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127309341 | 12730934 | Amnesia | |
| 127309341 | 12730934 | Anxiety | |
| 127309341 | 12730934 | Confusional state | |
| 127309341 | 12730934 | Dizziness | |
| 127309341 | 12730934 | Hallucination | |
| 127309341 | 12730934 | Memory impairment | |
| 127309341 | 12730934 | Paranoia | |
| 127309341 | 12730934 | Psychotic disorder |
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 |
|---|---|---|---|---|---|---|
| 127309341 | 12730934 | 1 | 20160608 | 20160722 | 0 |