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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127571881 | 12757188 | 1 | I | 20160905 | 20160914 | 20160919 | 20160919 | EXP | MX-ROCHE-1831036 | ROCHE | 47.00 | YR | F | Y | 53.50000 | KG | 20160919 | CN | MX | MX |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127571881 | 12757188 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Oral | 7:00AM(5 DROPS),1:00PM(5 DROPS),9:00PM(9 DROPS) | 17533 | TID | |||||||||
| 127571881 | 12757188 | 2 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Oral | 0 | CAPSULE | QD | |||||||||
| 127571881 | 12757188 | 3 | C | OMEGA 3 | OMEGA-3 FATTY ACIDS | 1 | Oral | 0 | CAPSULE | QD | |||||||||
| 127571881 | 12757188 | 4 | C | YASMIN | DROSPIRENONEETHINYL ESTRADIOL | 1 | Oral | DURING 21 DAYS OF TREATMENT AND 7 DAYS OF REST | 0 | QD | |||||||||
| 127571881 | 12757188 | 5 | C | PRISTIQ EXTENDED-RELEASE | DESVENLAFAXINE SUCCINATE | 1 | Oral | 7:00AM (1 TABLET) | 0 | 50 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127571881 | 12757188 | 1 | Anxiety |
| 127571881 | 12757188 | 2 | Nutritional supplementation |
| 127571881 | 12757188 | 3 | Nutritional supplementation |
| 127571881 | 12757188 | 5 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127571881 | 12757188 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127571881 | 12757188 | Angina pectoris | |
| 127571881 | 12757188 | Hallucination | |
| 127571881 | 12757188 | Insomnia | |
| 127571881 | 12757188 | Oropharyngeal pain |
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 |
|---|---|---|---|---|---|---|
| 127571881 | 12757188 | 1 | 20160905 | 0 | ||
| 127571881 | 12757188 | 2 | 2012 | 0 | ||
| 127571881 | 12757188 | 3 | 2012 | 0 | ||
| 127571881 | 12757188 | 4 | 201606 | 0 | ||
| 127571881 | 12757188 | 5 | 20160905 | 0 |