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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125735491 | 12573549 | 1 | I | 20160524 | 0 | 20160719 | 20160719 | DIR | 84.00 | YR | M | N | 0.00000 | 20160609 | N | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125735491 | 12573549 | 1 | PS | PROVIGIL | MODAFINIL | 1 | Oral | D | 0 | 1 | DF | COATED TABLET | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125735491 | 12573549 | 1 | Parkinson's disease |
125735491 | 12573549 | 1 | Somnolence |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125735491 | 12573549 | Abnormal behaviour | |
125735491 | 12573549 | Fall | |
125735491 | 12573549 | Fatigue | |
125735491 | 12573549 | Feeling abnormal | |
125735491 | 12573549 | Gait disturbance | |
125735491 | 12573549 | Speech disorder | |
125735491 | 12573549 | Wrong technique in product usage process |
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 |
---|---|---|---|---|---|---|
125735491 | 12573549 | 1 | 20160524 | 20160524 | 0 |