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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126101151 | 12610115 | 1 | I | 20160726 | 20160801 | 20160801 | PER | PHEH2016US018831 | NOVARTIS | 0.00 | F | Y | 0.00000 | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126101151 | 12610115 | 1 | PS | EXELON PATCH | RIVASTIGMINE | 1 | Transdermal | 9.5 MG, UNK | 22083 | 9.5 | MG | TRANS-THERAPEUTIC-SYSTEM | |||||||
| 126101151 | 12610115 | 2 | SS | EXELON PATCH | RIVASTIGMINE | 1 | Transdermal | 13.3 MG, UNK | 22083 | 13.3 | MG | TRANS-THERAPEUTIC-SYSTEM | |||||||
| 126101151 | 12610115 | 3 | C | BABY ASPIRIN | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 4 | C | HYDROCODONE | HYDROCODONE | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 5 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 6 | C | MEMANTINE. | MEMANTINE | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 7 | C | NITROFURANTOIN. | NITROFURANTOIN | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 8 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | UNK | U | 0 | |||||||||
| 126101151 | 12610115 | 9 | C | RISPERIDONE. | RISPERIDONE | 1 | Unknown | U | 0 | ||||||||||
| 126101151 | 12610115 | 10 | C | CRANBERRY BERCO | CRANBERRY | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126101151 | 12610115 | 1 | Dementia Alzheimer's type |
| 126101151 | 12610115 | 3 | Product used for unknown indication |
| 126101151 | 12610115 | 4 | Product used for unknown indication |
| 126101151 | 12610115 | 5 | Product used for unknown indication |
| 126101151 | 12610115 | 6 | Product used for unknown indication |
| 126101151 | 12610115 | 7 | Product used for unknown indication |
| 126101151 | 12610115 | 8 | Product used for unknown indication |
| 126101151 | 12610115 | 9 | Product used for unknown indication |
| 126101151 | 12610115 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126101151 | 12610115 | OT |
| 126101151 | 12610115 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126101151 | 12610115 | Dementia Alzheimer's type | |
| 126101151 | 12610115 | Weight decreased |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |