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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115407642 | 11540764 | 2 | F | 20150703 | 20150916 | 20150923 | 20160902 | EXP | FR-AFSSAPS-NC20150828 | FR-GLAXOSMITHKLINE-FR2015GSK133209 | GLAXOSMITHKLINE | 65.34 | YR | M | Y | 0.00000 | 20160902 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115407642 | 11540764 | 1 | PS | REQUIP | ROPINIROLE HYDROCHLORIDE | 1 | Oral | 10 MG, BID | Y | N | 20658 | 10 | MG | BID | |||||
| 115407642 | 11540764 | 2 | SS | AZILECT | RASAGILINE MESYLATE | 1 | Oral | 1 MG, QD | Y | N | 0 | 1 | MG | QD | |||||
| 115407642 | 11540764 | 3 | SS | STALEVO | CARBIDOPAENTACAPONELEVODOPA | 1 | Oral | 125 MG, QID | Y | N | 0 | 125 | MG | QID | |||||
| 115407642 | 11540764 | 4 | C | GUTRON | MIDODRINE | 1 | 2.5 MG, TID | U | 0 | 2.5 | MG | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115407642 | 11540764 | 1 | Parkinson's disease |
| 115407642 | 11540764 | 2 | Parkinson's disease |
| 115407642 | 11540764 | 3 | Parkinson's disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115407642 | 11540764 | HO |
| 115407642 | 11540764 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115407642 | 11540764 | Altered state of consciousness | |
| 115407642 | 11540764 | Hyperthermia | |
| 115407642 | 11540764 | Inappropriate schedule of drug administration | |
| 115407642 | 11540764 | Incorrect dose administered |
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 |
|---|---|---|---|---|---|---|
| 115407642 | 11540764 | 1 | 20150615 | 0 | ||
| 115407642 | 11540764 | 2 | 201501 | 0 |