<?xml version="1.0" encoding="UTF-8"?>
<adverse_event_case case_number="3006572">
  <adverse_event_report>
    <yyqq>97Q4</yyqq>
    <isr>3012049</isr>
    <initial_followup_code>I</initial_followup_code>
    <followup_sequence></followup_sequence>
    <image>3012049-4</image>
    <event_date></event_date>
    <manufacturer_date>1997-07-30</manufacturer_date>
    <fda_date>1997-11-03</fda_date>
    <report_code>PER</report_code>
    <manufacturer_number>US97092929A</manufacturer_number>
    <manufacturer_sending>Eli Lilly And Company</manufacturer_sending>
    <age>34.0</age>
    <age_units>YR</age_units>
    <gender>M</gender>
    <is_electronic_submission>false</is_electronic_submission>
    <weight></weight>
    <weight_units></weight_units>
    <report_date></report_date>
    <reporter_occupation></reporter_occupation>
    <death_date></death_date>
    <manufacturer_notified>false</manufacturer_notified>
    <confidentiality_status>false</confidentiality_status>
    <reporter_country></reporter_country>
    <reaction reaction_preferred_term="No Adverse Effect"/>
    <report_source report_source_code="CSM"/>
    <drug_datum>
      <drug_sequence>1000026943</drug_sequence>
      <role_code>PS</role_code>
      <drug_name>Zyprexa</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route>ORAL</administration_route>
      <dechallenge_code>D</dechallenge_code>
      <rechallenge_code>D</rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number></nda_number>
    </drug_datum>
    <drug_datum>
      <drug_sequence>1000040285</drug_sequence>
      <role_code>C</role_code>
      <drug_name>Zoloft</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route></administration_route>
      <dechallenge_code></dechallenge_code>
      <rechallenge_code></rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number></nda_number>
    </drug_datum>
    <drug_datum>
      <drug_sequence>1000040286</drug_sequence>
      <role_code>C</role_code>
      <drug_name>Zestril</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route></administration_route>
      <dechallenge_code></dechallenge_code>
      <rechallenge_code></rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number></nda_number>
    </drug_datum>
  </adverse_event_report>
</adverse_event_case>
