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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127691391 | 12769139 | 1 | I | 20160907 | 20160921 | 20160921 | EXP | JP-MALLINCKRODT-T201604397 | MALLINCKRODT | 0.00 | A | F | Y | 0.00000 | 20160921 | CN | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127691391 | 12769139 | 1 | PS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Oral | 15 MG DAILY DOSE | U | U | UNKNOWN | 40517 | TABLET | ||||||
| 127691391 | 12769139 | 2 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Oral | 20 MG DAILY DOSE | U | U | UNKNOWN | 40517 | TABLET | ||||||
| 127691391 | 12769139 | 3 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Oral | 10 MG DAILY DOSE | U | U | UNKNOWN | 40517 | TABLET | ||||||
| 127691391 | 12769139 | 4 | C | TAPENTADOL | TAPENTADOL | 1 | Unknown | 200 MG | 0 | ||||||||||
| 127691391 | 12769139 | 5 | C | KETALAR | KETAMINE HYDROCHLORIDE | 1 | Unknown | 220 MG | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127691391 | 12769139 | 1 | Cancer pain |
| 127691391 | 12769139 | 4 | Cancer pain |
| 127691391 | 12769139 | 5 | Cancer pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127691391 | 12769139 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127691391 | 12769139 | Somnolence | |
| 127691391 | 12769139 | Uterine cancer |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |