2012-11-06 - Male - 24 Years old
479197
| Adverse reaction report number | 479197 |
| Latest AER version number | 0 |
| Market authorization holder AER number | CAN20120003466 |
| Initial received date | 2012-11-06 |
| Latest received date | 2012-11-06 |
| Age | 24 Years |
| Gender | Male |
| Weight | N/A |
| Type of report | Spontaneous |
| Reporter type | Consumer Or Other Non Health Professional |
| Source of report | MAH |
| Report outcome | Unknown |
| Serious report? | Yes |
Reason for seriousness
| Death | |
| Disability | |
| Cogenital anomaly | |
| Life threateting | |
| Hospitalization | |
| Other medically important | Yes |
| Product description | Dosage form | Health product role | Route of administration | Dose | Frequency | Therapy duration | Indication(s) |
|---|---|---|---|---|---|---|---|
| ADDERALL XR | CAPSULE, EXTENDED RELEASE | Suspect | Unknown | Product used for unknown indication | |||
| COCAINE | NOT SPECIFIED | Suspect | Intra-nasal | Product used for unknown indication | |||
| MARIJUANA | NOT SPECIFIED | Suspect | Unknown | Product used for unknown indication | |||
| OXYCONTIN | TABLET (EXTENDED-RELEASE) | Suspect | Unknown | Product used for unknown indication |
| MedDRA version: v.21.1 | |
| Adverse reaction terms | Reaction duration |
|---|---|
| Chills | |
| Drug dependence | |
| Drug withdrawal syndrome | |
| Euphoric mood | |
| Substance abuse | |
| Vomiting | |
| Weight decreased | |