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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127847891 | 12784789 | 1 | I | 20160819 | 20160915 | 20160927 | 20160927 | EXP | FR-JNJFOC-20160924727 | JANSSEN | 51.61 | YR | A | M | Y | 0.00000 | 20160927 | MD | FR | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127847891 | 12784789 | 1 | PS | IXPRIM | ACETAMINOPHENTRAMADOL HYDROCHLORIDE | 1 | Oral | Y | N | 21123 | FILM COATED TABLET | ||||||||
| 127847891 | 12784789 | 2 | SS | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | Oral | Y | N | 20281 | UNSPECIFIED | ||||||||
| 127847891 | 12784789 | 3 | SS | TERCIAN | CYAMEMAZINE | 1 | Oral | Y | 0 | UNSPECIFIED | |||||||||
| 127847891 | 12784789 | 4 | SS | ALCOHOL. | ALCOHOL | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 127847891 | 12784789 | 5 | C | IMOVANE | ZOPICLONE | 1 | Oral | D | 0 | UNSPECIFIED | |||||||||
| 127847891 | 12784789 | 6 | C | SERESTA | OXAZEPAM | 1 | Oral | D | 0 | UNSPECIFIED | |||||||||
| 127847891 | 12784789 | 7 | C | DICLOFENAC SODIUM. | DICLOFENAC SODIUM | 1 | Unknown | D | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127847891 | 12784789 | 1 | Product used for unknown indication |
| 127847891 | 12784789 | 2 | Product used for unknown indication |
| 127847891 | 12784789 | 3 | Product used for unknown indication |
| 127847891 | 12784789 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127847891 | 12784789 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127847891 | 12784789 | Coma | |
| 127847891 | 12784789 | Intentional overdose | |
| 127847891 | 12784789 | Poisoning deliberate |
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 |
|---|---|---|---|---|---|---|
| 127847891 | 12784789 | 1 | 20160819 | 20160819 | 0 | |
| 127847891 | 12784789 | 2 | 20160819 | 20160819 | 0 | |
| 127847891 | 12784789 | 3 | 20160819 | 20160819 | 0 |