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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127205882 | 12720588 | 2 | F | 20160818 | 20160912 | 20160907 | 20160927 | EXP | JP-FRI-1000087380 | ALLERGAN | 0.00 | F | Y | 0.00000 | 20160927 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127205882 | 12720588 | 1 | PS | MEMANTINE HCL UNK | MEMANTINE HYDROCHLORIDE | 1 | Oral | 10 MG, QD | 21487 | 10 | MG | QD | |||||||
| 127205882 | 12720588 | 2 | SS | MEMANTINE HCL UNK | MEMANTINE HYDROCHLORIDE | 1 | Oral | 10 MG, QD | 21487 | 10 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127205882 | 12720588 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127205882 | 12720588 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127205882 | 12720588 | Delirium |
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 |
|---|---|---|---|---|---|---|
| 127205882 | 12720588 | 1 | 20160816 | 0 | ||
| 127205882 | 12720588 | 2 | 201608 | 0 |