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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127707141 | 12770714 | 1 | I | 20160905 | 0 | 20160921 | 20160921 | DIR | US-FDA-351206 | FDA-CTU | 34.48 | YR | F | N | 90.00000 | KG | 20160921 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127707141 | 12770714 | 1 | PS | VISTARIL | HYDROXYZINE PAMOATE | 1 | Oral | D | 0 | PRN | |||||||||
| 127707141 | 12770714 | 2 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127707141 | 12770714 | 4 | C | PRENATAL VITAMIN | VITAMINS | 1 | 0 | ||||||||||||
| 127707141 | 12770714 | 6 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127707141 | 12770714 | 1 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127707141 | 12770714 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127707141 | 12770714 | Amphetamines positive | |
| 127707141 | 12770714 | Anger | |
| 127707141 | 12770714 | Anxiety | |
| 127707141 | 12770714 | Drug ineffective | |
| 127707141 | 12770714 | Emotional distress | |
| 127707141 | 12770714 | Exposure during pregnancy | |
| 127707141 | 12770714 | False positive investigation result |
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 |
|---|---|---|---|---|---|---|
| 127707141 | 12770714 | 1 | 20160824 | 20160905 | 0 |