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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126019691 | 12601969 | 1 | I | 20160719 | 20160719 | 20160728 | 20160728 | PER | US-TAKEDA-2016TUS012832 | TAKEDA | 64.00 | YR | F | Y | 93.60000 | KG | 20160728 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126019691 | 12601969 | 1 | PS | ROZEREM | RAMELTEON | 1 | Oral | 8 MG, QD | 21782 | 8 | MG | TABLET | QD | ||||||
126019691 | 12601969 | 2 | C | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | UNK | U | 0 | |||||||||
126019691 | 12601969 | 3 | C | QUAZEPAM. | QUAZEPAM | 1 | Oral | UNK | U | 0 | |||||||||
126019691 | 12601969 | 4 | C | TYLENOL | ACETAMINOPHEN | 1 | Oral | UNK | U | 0 | |||||||||
126019691 | 12601969 | 5 | C | LEVEMIR | INSULIN DETEMIR | 1 | UNK | U | 0 | ||||||||||
126019691 | 12601969 | 6 | C | NOVOLOG | INSULIN ASPART | 1 | UNK | U | 0 | ||||||||||
126019691 | 12601969 | 7 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | Oral | UNK | U | 0 | |||||||||
126019691 | 12601969 | 8 | C | MYLANTA | ALUMINUM HYDROXIDEDIMETHICONEMAGNESIUM HYDROXIDE | 1 | Oral | UNK | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126019691 | 12601969 | 1 | Sleep disorder |
126019691 | 12601969 | 2 | Dementia |
126019691 | 12601969 | 5 | Diabetes mellitus |
126019691 | 12601969 | 6 | Diabetes mellitus |
126019691 | 12601969 | 7 | Supplementation therapy |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126019691 | 12601969 | Sedation |
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 |
---|---|---|---|---|---|---|
126019691 | 12601969 | 1 | 20160718 | 0 |