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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127571392 | 12757139 | 2 | F | 20160901 | 20160916 | 20160918 | 20160920 | EXP | IT-ROCHE-1831023 | ROCHE | 23.00 | YR | M | Y | 0.00000 | 20160920 | OT | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127571392 | 12757139 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Unknown | 2.5 MG/ML ORAL DROPS, SOLUTION 10 ML BOTTLE | D | 17533 | ORAL DROPS | ||||||||
| 127571392 | 12757139 | 2 | SS | RISPERDAL | RISPERIDONE | 1 | Oral | 2 MG FILM-COATED TABLETS, 20 TABLETS | D | 0 | 10 | DF | TABLET | ||||||
| 127571392 | 12757139 | 3 | SS | DEPAKIN | VALPROATE SODIUM | 1 | Oral | 1000 MG MODIFIED-RELEASE GRANULES 30 SACHETS | D | 0 | 10 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127571392 | 12757139 | 1 | Product used for unknown indication |
| 127571392 | 12757139 | 2 | Product used for unknown indication |
| 127571392 | 12757139 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127571392 | 12757139 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127571392 | 12757139 | Intentional overdose | |
| 127571392 | 12757139 | Intentional self-injury |
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 |
|---|---|---|---|---|---|---|
| 127571392 | 12757139 | 2 | 20160901 | 20160901 | 0 | |
| 127571392 | 12757139 | 3 | 20160901 | 20160901 | 0 |