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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127431891 | 12743189 | 1 | I | 20160808 | 20160905 | 20160914 | 20160914 | EXP | SE-MPA-2016-005128 | SE-TEVA-690599ACC | TEVA | 44.00 | YR | F | Y | 0.00000 | 20160914 | MD | SE | SE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127431891 | 12743189 | 1 | PS | STESOLID | DIAZEPAM | 1 | U | 70152 | 50 | MG | |||||||||
| 127431891 | 12743189 | 2 | SS | IMOVANE | ZOPICLONE | 1 | U | 0 | 150 | MG | |||||||||
| 127431891 | 12743189 | 3 | SS | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | TOOK 7-10 PIECES EACH OF 10 OR 25 MG | U | 0 | ||||||||||
| 127431891 | 12743189 | 4 | C | Waran | WARFARIN SODIUM | 1 | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127431891 | 12743189 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127431891 | 12743189 | Suicidal ideation | |
| 127431891 | 12743189 | 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 |
|---|---|---|---|---|---|---|
| 127431891 | 12743189 | 1 | 20160808 | 20160808 | 0 | |
| 127431891 | 12743189 | 2 | 20160808 | 20160808 | 0 | |
| 127431891 | 12743189 | 3 | 20160808 | 20160808 | 0 |