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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126862021 | 12686202 | 1 | I | 20160810 | 20160825 | 20160825 | EXP | PHHY2016BR110696 | NOVARTIS | 0.00 | F | Y | 56.00000 | KG | 20160825 | MD | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126862021 | 12686202 | 1 | PS | EXELON PATCH | RIVASTIGMINE | 1 | Transdermal | PATCH 10 (CM2), QD | 22083 | 9.5 | MG | TRANS-THERAPEUTIC-SYSTEM | QD | ||||||
| 126862021 | 12686202 | 2 | C | HEIMER | MEMANTINE HYDROCHLORIDE | 1 | Oral | 2 TABLETS A DAY, ORALLY | 0 | 1 | DF | TABLET | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126862021 | 12686202 | 1 | Dementia Alzheimer's type |
| 126862021 | 12686202 | 2 | Dementia Alzheimer's type |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126862021 | 12686202 | OT |
| 126862021 | 12686202 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126862021 | 12686202 | Decreased immune responsiveness | |
| 126862021 | 12686202 | Herpes zoster | |
| 126862021 | 12686202 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 126862021 | 12686202 | 1 | 201410 | 20160808 | 0 | |
| 126862021 | 12686202 | 2 | 201410 | 0 |