2004-06-16 - Male - 14 Years old
171912
| Adverse reaction report number | 171912 |
| Latest AER version number | 0 |
| Market authorization holder AER number | N/A |
| Initial received date | 2004-06-16 |
| Latest received date | 2004-06-16 |
| Age | 14 Years |
| Gender | Male |
| Weight | 67 Kilograms |
| Type of report | Spontaneous |
| Reporter type | Physician |
| Source of report | Community |
| Report outcome | Recovered/resolved |
| Serious report? | No |
| Product description | Dosage form | Health product role | Route of administration | Dose | Frequency | Therapy duration | Indication(s) |
|---|---|---|---|---|---|---|---|
| ADDERALL XR | CAPSULE, EXTENDED RELEASE | Suspect | Unknown | 30 Milligram | Cyclical | 25 Day(s) |
| MedDRA version: v.21.1 | |
| Adverse reaction terms | Reaction duration |
|---|---|
| Epistaxis | |