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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127457771 | 12745777 | 1 | I | 2016 | 20160816 | 20160915 | 20160915 | PER | US-ADAPT PHARMA INC-2016ADP00076 | ADAPT PHARMA | 24.00 | YR | M | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127457771 | 12745777 | 1 | PS | NARCAN | NALOXONE HYDROCHLORIDE | 1 | Nasal | 4 MG, TWICE | UNK | 208411 | 4 | MG | NASAL SPRAY | ||||||
| 127457771 | 12745777 | 2 | SS | EVZIO | NALOXONE HYDROCHLORIDE | 1 | Unknown | UNK, ONCE | UNK | 0 | |||||||||
| 127457771 | 12745777 | 3 | SS | BENZODIAZAPINES | BENZODIAZEPINE | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457771 | 12745777 | 4 | SS | XANAX | ALPRAZOLAM | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457771 | 12745777 | 5 | SS | HEROIN | DIACETYLMORPHINE | 1 | Unknown | UNK, UNK | UNK | 0 | |||||||||
| 127457771 | 12745777 | 6 | SS | FENTANYL. | FENTANYL | 1 | Unknown | UNK, UNK | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127457771 | 12745777 | 1 | Overdose |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127457771 | 12745777 | Hypopnoea | |
| 127457771 | 12745777 | Inappropriate schedule of drug administration | |
| 127457771 | 12745777 | Malaise | |
| 127457771 | 12745777 | Unresponsive to stimuli | |
| 127457771 | 12745777 | Vomiting | |
| 127457771 | 12745777 | Withdrawal syndrome |
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 |
|---|---|---|---|---|---|---|
| 127457771 | 12745777 | 1 | 2016 | 2016 | 0 | |
| 127457771 | 12745777 | 2 | 2016 | 2016 | 0 |