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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127610481 | 12761048 | 1 | I | 20160915 | 20160920 | 20160920 | EXP | HR-HALMED-2016-02460 | HR-ROCHE-1831565 | ROCHE | 0.00 | F | Y | 0.00000 | 20160920 | MD | HR | HR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127610481 | 12761048 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Oral | 30-40 TBL, ONCE, STRENGTH UNKNOWN | D | 17533 | TABLET | ||||||||
| 127610481 | 12761048 | 2 | SS | NOZINAN | LEVOMEPROMAZINE | 1 | Oral | 10 TBL, ONCE, STRENGTH UNKNOWN | D | 0 | FILM-COATED TABLET | ||||||||
| 127610481 | 12761048 | 3 | SS | SANVAL | ZOLPIDEM TARTRATE | 1 | Oral | 30 TBL, ONCE, STRENGTH UNKNOWN | D | 0 | FILM-COATED TABLET | ||||||||
| 127610481 | 12761048 | 4 | SS | CITRAM | ESCITALOPRAM OXALATE | 1 | Oral | ONCE | D | 0 | 100 | MG | FILM-COATED TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127610481 | 12761048 | 1 | Product used for unknown indication |
| 127610481 | 12761048 | 2 | Product used for unknown indication |
| 127610481 | 12761048 | 3 | Product used for unknown indication |
| 127610481 | 12761048 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127610481 | 12761048 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127610481 | 12761048 | Intentional overdose | |
| 127610481 | 12761048 | Poisoning | |
| 127610481 | 12761048 | Suicide attempt |
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 |
|---|---|---|---|---|---|---|
| 127610481 | 12761048 | 1 | 20160218 | 0 | ||
| 127610481 | 12761048 | 2 | 20160218 | 0 | ||
| 127610481 | 12761048 | 3 | 20160218 | 0 | ||
| 127610481 | 12761048 | 4 | 20160218 | 0 |