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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124908554 | 12490855 | 4 | F | 201606 | 20160711 | 20160623 | 20160718 | EXP | US-LUNDBECK-DKLU2015265 | LUNDBECK | 55.15 | YR | M | Y | 0.00000 | 20160718 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124908554 | 12490855 | 1 | PS | NORTHERA | DROXIDOPA | 1 | Unknown | 203202 | 100 | MG | TID | ||||||||
| 124908554 | 12490855 | 2 | SS | NORTHERA | DROXIDOPA | 1 | Unknown | 203202 | 200 | MG | TID | ||||||||
| 124908554 | 12490855 | 3 | SS | CARBIDOPA/LEVODOPA | CARBIDOPALEVODOPA | 1 | Unknown | 0 | |||||||||||
| 124908554 | 12490855 | 4 | SS | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 124908554 | 12490855 | 5 | SS | LASIX | FUROSEMIDE | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124908554 | 12490855 | 1 | Autonomic neuropathy |
| 124908554 | 12490855 | 2 | Autonomic nervous system imbalance |
| 124908554 | 12490855 | 3 | Tremor |
| 124908554 | 12490855 | 4 | Product used for unknown indication |
| 124908554 | 12490855 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124908554 | 12490855 | OT |
| 124908554 | 12490855 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124908554 | 12490855 | Dizziness | |
| 124908554 | 12490855 | Fall | |
| 124908554 | 12490855 | Foot fracture | |
| 124908554 | 12490855 | Hypertension | |
| 124908554 | 12490855 | Loss of consciousness | |
| 124908554 | 12490855 | Orthostatic hypotension | |
| 124908554 | 12490855 | Renal failure | |
| 124908554 | 12490855 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 124908554 | 12490855 | 1 | 20160516 | 201606 | 0 | |
| 124908554 | 12490855 | 2 | 20160613 | 0 | ||
| 124908554 | 12490855 | 3 | 201606 | 0 | ||
| 124908554 | 12490855 | 4 | 201606 | 0 | ||
| 124908554 | 12490855 | 5 | 201606 | 0 |