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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127360944 | 12736094 | 4 | F | 20160620 | 20160919 | 20160912 | 20160930 | EXP | IT-MINISAL02-372537 | IT-TEVA-690336ACC | TEVA | 50.41 | YR | M | Y | 0.00000 | 20160930 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127360944 | 12736094 | 1 | PS | LORAZEPAM. | LORAZEPAM | 1 | TOTAL | U | 72927 | TABLET | |||||||||
| 127360944 | 12736094 | 2 | SS | LORAZEPAM. | LORAZEPAM | 1 | 40 ML TOTAL, FORM OF ADMIN: DROPS | U | 72927 | 40 | ML | ||||||||
| 127360944 | 12736094 | 3 | C | CANNABIS | CANNABIS SATIVA SUBSP. INDICA TOP | 1 | DAILY | 0 | |||||||||||
| 127360944 | 12736094 | 4 | C | MARIJUANA | CANNABIS SATIVA SUBSP. INDICA TOP | 1 | IN THE EVENING | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127360944 | 12736094 | 1 | Drug abuse |
| 127360944 | 12736094 | 4 | Feeling of relaxation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127360944 | 12736094 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127360944 | 12736094 | Drug abuse | |
| 127360944 | 12736094 | Intentional self-injury | |
| 127360944 | 12736094 | Sopor |
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 |
|---|---|---|---|---|---|---|
| 127360944 | 12736094 | 1 | 20160620 | 20160620 | 0 | |
| 127360944 | 12736094 | 2 | 20160620 | 20160620 | 0 |