2005-02-25 - Male - 14 Years old
179961
| Adverse reaction report number | 179961 |
| Latest AER version number | 0 |
| Market authorization holder AER number | N/A |
| Initial received date | 2005-02-25 |
| Latest received date | 2005-02-25 |
| Age | 14 Years |
| Gender | Male |
| Weight | N/A |
| Type of report | Spontaneous |
| Reporter type | Consumer Or Other Non Health Professional |
| Source of report | Community |
| Report outcome | Unknown |
| Serious report? | Yes |
Reason for seriousness
| Death | |
| Disability | |
| Cogenital anomaly | |
| Life threateting | |
| Hospitalization | Yes |
| 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 | Unknown | 15 Milligram | 3 Month(s) |
| MedDRA version: v.21.1 | |
| Adverse reaction terms | Reaction duration |
|---|---|
| Decreased appetite | |
| Fatigue | |
| Insomnia | |
| Syncope | |