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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127653611 | 12765361 | 1 | I | 20160912 | 20160913 | 20160921 | 20160921 | EXP | US-JNJFOC-20160914085 | JOHNSON AND JOHNSON | 40.00 | YR | A | M | Y | 70.31000 | KG | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127653611 | 12765361 | 1 | PS | TYLENOL PM EXTRA STRENGTH | ACETAMINOPHENDIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | DOWNED A WHOLE BOTTLE | D | N | 999999 | TABLET | |||||||
| 127653611 | 12765361 | 2 | SS | ALCOHOL. | ALCOHOL | 1 | Unknown | D | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127653611 | 12765361 | 1 | Product used for unknown indication |
| 127653611 | 12765361 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127653611 | 12765361 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127653611 | 12765361 | Drug administration error | |
| 127653611 | 12765361 | Overdose |
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 |
|---|---|---|---|---|---|---|
| 127653611 | 12765361 | 1 | 20160912 | 20160912 | 0 |