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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125790691 | 12579069 | 1 | I | 20160710 | 20160711 | 20160721 | 20160721 | PER | US-EISAI MEDICAL RESEARCH-EC-2016-018659 | EISAI | 88.51 | YR | M | Y | 81.00000 | KG | 20160721 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125790691 | 12579069 | 1 | PS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | U | 20690 | 5 | MG | TABLET | QD | ||||||
| 125790691 | 12579069 | 2 | SS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | U | 20690 | 10 | MG | TABLET | QD | ||||||
| 125790691 | 12579069 | 3 | SS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | U | 20690 | 10 | MG | TABLET | QD | ||||||
| 125790691 | 12579069 | 4 | SS | MOTRIN | IBUPROFEN | 1 | Oral | N | 0 | 1 | DF | UNKNOWN | BID | ||||||
| 125790691 | 12579069 | 5 | SS | MOTRIN | IBUPROFEN | 1 | Oral | N | 0 | 1 | DF | UNKNOWN | TID | ||||||
| 125790691 | 12579069 | 6 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | UNKNOWN | 0 | UNKNOWN | |||||||||
| 125790691 | 12579069 | 7 | C | ZOCOR | SIMVASTATIN | 1 | Unknown | UNKNOWN | 0 | UNKNOWN | |||||||||
| 125790691 | 12579069 | 8 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Unknown | UNKNOWN | 0 | UNKNOWN | |||||||||
| 125790691 | 12579069 | 9 | C | CELECOXIB. | CELECOXIB | 1 | Unknown | UNKNOWN | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125790691 | 12579069 | 1 | Dementia |
| 125790691 | 12579069 | 4 | Arthralgia |
| 125790691 | 12579069 | 6 | Product used for unknown indication |
| 125790691 | 12579069 | 7 | Product used for unknown indication |
| 125790691 | 12579069 | 8 | Product used for unknown indication |
| 125790691 | 12579069 | 9 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125790691 | 12579069 | Decreased appetite | |
| 125790691 | 12579069 | Feeling abnormal | |
| 125790691 | 12579069 | Hypertension | |
| 125790691 | 12579069 | Malaise | |
| 125790691 | 12579069 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 125790691 | 12579069 | 1 | 2008 | 0 | ||
| 125790691 | 12579069 | 2 | 2016 | 0 | ||
| 125790691 | 12579069 | 3 | 20160708 | 0 | ||
| 125790691 | 12579069 | 4 | 20160708 | 20160708 | 0 | |
| 125790691 | 12579069 | 5 | 20160709 | 20160709 | 0 |