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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5531274 | 6393344 | F | 2 | 5531274-1 | 20070617 | 20070830 | 20071127 | EXP | T07-UKI-02711-01 | FOREST LABORATORIES INC. | 78 | YR | M | N | 20071126 | 20070630 | GERMANY |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5531274 | 1009214421 | PS | MEMANTINE HCL | 1 | D | D | 21487 | ||||
| 5531274 | 1009244598 | C | ASPIRIN | 1 | |||||||
| 5531274 | 1009244599 | C | SOTALOL HYDROCHLORIDE | 1 | |||||||
| 5531274 | 1009244600 | C | GLICLAZINE | 2 | |||||||
| 5531274 | 1009244602 | C | FYBOGEL (ISPAGHULA) | 2 | |||||||
| 5531274 | 1009244603 | C | SENNA | 2 | |||||||
| 5531274 | 1009244604 | C | HYDROXOCOBALAMIN | 1 | |||||||
| 5531274 | 1009244605 | C | DONEPEZIL HCL | 1 | |||||||
| 5531274 | 1009244606 | C | GALANTAMINE HYDROBROMIDE | 1 | |||||||
| 5531274 | 1009244607 | C | RAMIPRIL | 1 | |||||||
| 5531274 | 1009244608 | C | FUROSEMIDE | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5531274 | 1009214421 | DEMENTIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5531274 | DE |
| 5531274 | HO |
| 5531274 | LT |
Reactions reported
| Event ID | PT |
|---|---|
| 5531274 | CEREBRAL ATROPHY |
| 5531274 | CEREBROVASCULAR ACCIDENT |
| 5531274 | FALL |
| 5531274 | LOSS OF CONSCIOUSNESS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5531274 | FGN |
| 5531274 | HP |
| 5531274 | OTH |
| 5531274 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5531274 | 1009214421 | 20070328 | 20070617 |