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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127457121 | 12745712 | 1 | I | 201607 | 20160718 | 20160915 | 20160915 | PER | US-ADAPT PHARMA INC-2016ADP00013 | ADAPT PHARMA | 37.92 | YR | M | Y | 136.50000 | KG | 20160913 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127457121 | 12745712 | 1 | PS | NALOXONE HYDROCHLORIDE. | NALOXONE HYDROCHLORIDE | 1 | Unknown | 1 DOSAGE UNITS, TWICE | U | UNK | 208411 | 1 | DF | NASAL SPRAY | |||||
| 127457121 | 12745712 | 2 | SS | CORVALOL | BROMISOVALPHENOBARBITAL SODIUM | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457121 | 12745712 | 3 | SS | LISINOPRIL. | LISINOPRIL | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457121 | 12745712 | 4 | SS | MELOXICAM. | MELOXICAM | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457121 | 12745712 | 5 | SS | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457121 | 12745712 | 6 | SS | XANAX | ALPRAZOLAM | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457121 | 12745712 | 7 | SS | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | UNK, UNK | UNK | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127457121 | 12745712 | Feeling hot | |
| 127457121 | 12745712 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 127457121 | 12745712 | 1 | 20160716 | 20160716 | 0 |