2005-02-10 - Male - 10 Years old
176815
| Adverse reaction report number | 176815 |
| Latest AER version number | 0 |
| Market authorization holder AER number | N/A |
| Initial received date | 2005-02-10 |
| Latest received date | 2005-02-10 |
| Age | 10 Years |
| Gender | Male |
| Weight | 48 Kilograms |
| Type of report | Spontaneous |
| Reporter type | Physician |
| Source of report | Other |
| Report outcome | Recovered/resolved |
| Serious report? | Yes |
Reason for seriousness
| Death | |
| Disability | |
| Cogenital anomaly | |
| Life threateting | Yes |
| Hospitalization | |
| Other medically important |
| Product description | Dosage form | Health product role | Route of administration | Dose | Frequency | Therapy duration | Indication(s) |
|---|---|---|---|---|---|---|---|
| ADDERALL XR | CAPSULE, EXTENDED RELEASE | Suspect | Oral | 30 Milligram | Once | 1 Day(s) | |
| BENADRYL | NOT SPECIFIED | Drug used to treat AE | Oral | 45 Milligram | 3 every 1 Day(s) | 1 Day(s) |
| MedDRA version: v.21.1 | |
| Adverse reaction terms | Reaction duration |
|---|---|
| Abdominal pain | |
| Dyspnoea | |
| Headache | |
| Throat tightness | |
| Visual impairment | |