The Safety Rates Drug Report

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Drug     Injury     Quarter    

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
125103932 12510393 2 F 20160419 20160706 20160629 20160711 EXP JP-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-41511NB BOEHRINGER INGELHEIM 73.00 YR M Y 46.60000 KG 20160711 PH JP JP

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
125103932 12510393 1 PS MIRAPEX PRAMIPEXOLE DIHYDROCHLORIDE 1 Oral 3 MG Y 22421 1.5 MG PROLONGED-RELEASE TABLET BID
125103932 12510393 2 SS MIRAPEX PRAMIPEXOLE DIHYDROCHLORIDE 1 Oral 1.5 MG Y 22421 1.5 MG PROLONGED-RELEASE TABLET QD
125103932 12510393 3 C EDIROL ELDECALCITOL 1 Unknown U 0
125103932 12510393 4 C REBAMIPIDE REBAMIPIDE 1 Unknown U 0
125103932 12510393 5 C NEUROTROPIN NEUROTROPIN 1 Unknown U 0 INJECTION
125103932 12510393 6 C MENESIT CARBIDOPALEVODOPA 1 Unknown U 0

Indications of drugs used

Event ID CASEID INDI DRUG SEQ INDI PT
125103932 12510393 1 Parkinson's disease
125103932 12510393 3 Product used for unknown indication
125103932 12510393 4 Product used for unknown indication
125103932 12510393 5 Product used for unknown indication
125103932 12510393 6 Product used for unknown indication

Outcome of event

Event ID CASEID OUTC COD
125103932 12510393 HO

Reactions reported

Event ID CASEID DRUG REC ACT PT
125103932 12510393 Gait disturbance
125103932 12510393 Hallucination
125103932 12510393 Movement disorder

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
125103932 12510393 1 20160419 0
125103932 12510393 2 20160420 0