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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030321 | 12703032 | 1 | I | 20160824 | 20160831 | 20160831 | EXP | JP-EISAI MEDICAL RESEARCH-EC-2016-019788 | EISAI | IMAMURA M. A CASE OF ACHALASIA IN WHICH VIDEOFLUOROSCOPIC EXAMINATION OF SWALLOWING REVEALED THE INITIAL FINDING LEADING TO THE DIAGNOSIS. OKINAWA MEDICAL JOURNAL. 2016;(55)1:113. | 79.00 | YR | F | Y | 0.00000 | 20160831 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030321 | 12703032 | 1 | PS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | 20690 | 6 | MG | TABLET | QD | |||||||
| 127030321 | 12703032 | 2 | C | PREDNISOLONE. | PREDNISOLONE | 1 | Unknown | 0 | 7.5 | MG | UNKNOWN | QD | |||||||
| 127030321 | 12703032 | 3 | C | LEVETIRACETAM. | LEVETIRACETAM | 1 | Unknown | 0 | 500 | MG | UNKNOWN | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127030321 | 12703032 | 1 | Dementia Alzheimer's type |
| 127030321 | 12703032 | 2 | Product used for unknown indication |
| 127030321 | 12703032 | 3 | Epilepsy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127030321 | 12703032 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127030321 | 12703032 | Altered state of consciousness | |
| 127030321 | 12703032 | Decreased appetite |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |