Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4507087 | 5663123 | I | 4507087-6 | 20010615 | 20041013 | 20041117 | EXP | 2004-DE-05605DE | BOEHRINGER INGELHEIM PHARMA GMBH + CO.KG | 66 | YR | F | N | 20041115 |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4507087 | 1005410154 | PS | MIRAPEX | 1 | ORAL | 20667 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4507087 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4507087 | COUGH |
| 4507087 | GRAND MAL CONVULSION |
| 4507087 | RENAL IMPAIRMENT |
| 4507087 | THROAT TIGHTNESS |
| 4507087 | VISUAL DISTURBANCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4507087 | 1005410154 | 20010505 | 20010715 | 70 | DAY |