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 |