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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126680611 | 12668061 | 1 | I | 20160730 | 20160811 | 20160819 | 20160819 | EXP | FR-SYMPLMED PHARMACEUTICALS-2016SYMPLMED000300 | SYMPLMED PHARMACEUTICALS | 0.00 | Y | 0.00000 | 20160819 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126680611 | 12668061 | 1 | PS | Coversyl | PERINDOPRIL | 1 | Oral | 5 MG, QD | UNKNOWN | 20184 | 5 | MG | TABLET | ||||||
| 126680611 | 12668061 | 2 | SS | LASILIX /00032601/ | FUROSEMIDE | 1 | Oral | 40 MG, QD | UNKNOWN | 0 | 40 | MG | TABLET | ||||||
| 126680611 | 12668061 | 3 | SS | CORDARONE | AMIODARONE HYDROCHLORIDE | 1 | Oral | 200 MG 5 TIMES A WEEK | UNKNOWN | 0 | TABLET | ||||||||
| 126680611 | 12668061 | 4 | SS | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | Oral | 25 MG, QD | UNKNOWN | 0 | 25 | MG | TABLET | ||||||
| 126680611 | 12668061 | 5 | SS | LOXEN /00639802/ | NICARDIPINE | 1 | Oral | 20 MG, BID | UNKNOWN | 0 | 20 | MG | TABLET | ||||||
| 126680611 | 12668061 | 6 | SS | MODOPAR | BENSERAZIDE HYDROCHLORIDELEVODOPA | 1 | Oral | 187.5 MG, TID | UNKNOWN | 0 | 187.5 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126680611 | 12668061 | 1 | Product used for unknown indication |
| 126680611 | 12668061 | 2 | Product used for unknown indication |
| 126680611 | 12668061 | 3 | Product used for unknown indication |
| 126680611 | 12668061 | 4 | Product used for unknown indication |
| 126680611 | 12668061 | 5 | Product used for unknown indication |
| 126680611 | 12668061 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126680611 | 12668061 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126680611 | 12668061 | Bradycardia | |
| 126680611 | 12668061 | Fall | |
| 126680611 | 12668061 | General physical health deterioration |
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 |
|---|---|---|---|---|---|---|
| 126680611 | 12668061 | 1 | 201506 | 0 | ||
| 126680611 | 12668061 | 2 | 201506 | 0 | ||
| 126680611 | 12668061 | 3 | 201506 | 0 | ||
| 126680611 | 12668061 | 4 | 201506 | 0 | ||
| 126680611 | 12668061 | 5 | 201506 | 0 | ||
| 126680611 | 12668061 | 6 | 201506 | 0 |