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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127715711 | 12771571 | 1 | I | 20160804 | 20160831 | 20160922 | 20160922 | EXP | FR-AFSSAPS-MP20160982 | FR-FRI-1000087591 | FOREST | 49.00 | YR | F | Y | 0.00000 | 20160922 | OT | DK | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127715711 | 12771571 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | DAILY DOSE NOT REPORTED | D | 21323 | |||||||||
| 127715711 | 12771571 | 2 | SS | DOLIPRANE | ACETAMINOPHEN | 1 | Oral | DAILY DOSE NOT REPORTED | D | 0 | |||||||||
| 127715711 | 12771571 | 3 | SS | ALPRAZOLAM. | ALPRAZOLAM | 1 | Oral | DAILY DOSE NOT REPORTED | D | 0 | |||||||||
| 127715711 | 12771571 | 4 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | DAILY DOSE NOT REPORTED | D | 0 | |||||||||
| 127715711 | 12771571 | 5 | SS | PRAZEPAM | PRAZEPAM | 1 | Oral | DAILY DOSE NOT REPORTED | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127715711 | 12771571 | 1 | Product used for unknown indication |
| 127715711 | 12771571 | 2 | Product used for unknown indication |
| 127715711 | 12771571 | 3 | Product used for unknown indication |
| 127715711 | 12771571 | 4 | Product used for unknown indication |
| 127715711 | 12771571 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127715711 | 12771571 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127715711 | 12771571 | Bradycardia | |
| 127715711 | 12771571 | Cardiogenic shock | |
| 127715711 | 12771571 | Intentional overdose | |
| 127715711 | 12771571 | Multiple organ dysfunction syndrome |
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 |
|---|---|---|---|---|---|---|
| 127715711 | 12771571 | 1 | 20160804 | 20160804 | 0 | |
| 127715711 | 12771571 | 2 | 20160804 | 20160804 | 0 | |
| 127715711 | 12771571 | 3 | 20160804 | 20160804 | 0 | |
| 127715711 | 12771571 | 4 | 20160804 | 20160804 | 0 | |
| 127715711 | 12771571 | 5 | 20160804 | 20160804 | 0 |