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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127995941 | 12799594 | 1 | I | 20160701 | 20160922 | 20160930 | 20160930 | EXP | IT-TEVA-696376ACC | TEVA | 77.28 | YR | F | Y | 0.00000 | 20160930 | MD | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127995941 | 12799594 | 1 | PS | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | Oral | U | 76410 | ||||||||||
| 127995941 | 12799594 | 2 | SS | HALDOL | HALOPERIDOL | 1 | Oral | U | 0 | 1 | MG | TABLET | |||||||
| 127995941 | 12799594 | 3 | C | Eutirox | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 127995941 | 12799594 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 500 MG | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127995941 | 12799594 | 1 | Intentional self-injury |
| 127995941 | 12799594 | 2 | Intentional self-injury |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127995941 | 12799594 | LT |
| 127995941 | 12799594 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127995941 | 12799594 | Altered state of consciousness | |
| 127995941 | 12799594 | Drug abuse | |
| 127995941 | 12799594 | Sopor | |
| 127995941 | 12799594 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 127995941 | 12799594 | 1 | 20160701 | 20160701 | 0 | |
| 127995941 | 12799594 | 2 | 20160701 | 20160701 | 0 |