Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103755992 | 10375599 | 2 | F | 2016 | 20160324 | 20140811 | 20160331 | EXP | US-GLAXOSMITHKLINE-A1040849A | GLAXOSMITHKLINE | 0.00 | M | Y | 0.00000 | 20160331 | CN | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103755992 | 10375599 | 1 | PS | REQUIP XL | ROPINIROLE HYDROCHLORIDE | 1 | Oral | 8 MG AND 12 MG TABLETS OR 20 MG ONCE DAILY | UNKNOWN | 22008 | 20 | MG | PROLONGED-RELEASE TABLET | QD | |||||
| 103755992 | 10375599 | 2 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | 0 | ||||||||||||
| 103755992 | 10375599 | 3 | C | ELAVIL | AMITRIPTYLINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103755992 | 10375599 | 1 | Parkinson's disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 103755992 | 10375599 | HO |
| 103755992 | 10375599 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103755992 | 10375599 | Balance disorder | |
| 103755992 | 10375599 | Computerised tomogram | |
| 103755992 | 10375599 | Dehydration | |
| 103755992 | 10375599 | Diverticulitis | |
| 103755992 | 10375599 | Fall | |
| 103755992 | 10375599 | Parkinsonism | |
| 103755992 | 10375599 | Weight decreased |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 103755992 | 10375599 | 1 | 20100817 | 0 |