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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127367751 | 12736775 | 1 | I | 20160706 | 20160715 | 20160912 | 20160912 | EXP | GB-TEVA-678266ACC | TEVA | 75.00 | YR | M | Y | 70.00000 | KG | 20160912 | MD | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127367751 | 12736775 | 1 | PS | DIAZEPAM. | DIAZEPAM | 1 | Oral | OVERDOSE: AMOUNT UNKNOWN | U | 70152 | |||||||||
| 127367751 | 12736775 | 2 | SS | DIAZEPAM. | DIAZEPAM | 1 | Oral | 2 MG THREE TIMES DAILY AS REQUIRED | U | 70152 | |||||||||
| 127367751 | 12736775 | 3 | SS | BRINTELLIX | VORTIOXETINE HYDROBROMIDE | 1 | Oral | 5 MG DAILY | Y | U | 0 | TABLET | |||||||
| 127367751 | 12736775 | 4 | SS | BRINTELLIX | VORTIOXETINE HYDROBROMIDE | 1 | Oral | OVERDOSE: UNKNOWN NUMBER OF 5 MG TABLETS | Y | U | 0 | TABLET | |||||||
| 127367751 | 12736775 | 5 | SS | ETHANOL | ALCOHOL | 1 | Oral | OVERDOSE: AMOUNT UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127367751 | 12736775 | 1 | Product used for unknown indication |
| 127367751 | 12736775 | 2 | Anxiety |
| 127367751 | 12736775 | 3 | Depression |
| 127367751 | 12736775 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127367751 | 12736775 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127367751 | 12736775 | Intentional overdose | |
| 127367751 | 12736775 | Suicide attempt |
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 |
|---|---|---|---|---|---|---|
| 127367751 | 12736775 | 1 | 20160706 | 20160707 | 0 | |
| 127367751 | 12736775 | 3 | 20160627 | 20160705 | 0 | |
| 127367751 | 12736775 | 4 | 20160706 | 20160706 | 0 | |
| 127367751 | 12736775 | 5 | 20160706 | 20160706 | 0 |