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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127479901 | 12747990 | 1 | I | 20160913 | 20160915 | 20160915 | EXP | US-NAPPMUNDI-USA-2016-0133559 | PURDUE | 62.00 | YR | M | Y | 0.00000 | 20160915 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127479901 | 12747990 | 1 | PS | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Oral | U | U | UNKNOWN | 22272 | PROLONGED-RELEASE TABLET | |||||||
| 127479901 | 12747990 | 2 | SS | XANAX | ALPRAZOLAM | 1 | Oral | U | U | UNKNOWN | 0 | ||||||||
| 127479901 | 12747990 | 3 | SS | AMPHETAMINE | AMPHETAMINE | 1 | Unknown | U | U | UNKNOWN | 0 | ||||||||
| 127479901 | 12747990 | 4 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Unknown | U | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127479901 | 12747990 | 1 | Product used for unknown indication |
| 127479901 | 12747990 | 2 | Product used for unknown indication |
| 127479901 | 12747990 | 3 | Product used for unknown indication |
| 127479901 | 12747990 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127479901 | 12747990 | DE |
| 127479901 | 12747990 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127479901 | 12747990 | Drug abuse | |
| 127479901 | 12747990 | Road traffic accident |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |