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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127225451 | 12722545 | 1 | I | 20160316 | 20160902 | 20160907 | 20160907 | EXP | FR-EISAI MEDICAL RESEARCH-EC-2016-020025 | EISAI | 91.85 | YR | F | Y | 0.00000 | 20160907 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127225451 | 12722545 | 1 | PS | PARIET | RABEPRAZOLE SODIUM | 1 | Oral | Y | 20973 | 20 | MG | TABLET | QD | ||||||
| 127225451 | 12722545 | 2 | SS | LAMALINE | ACETAMINOPHENCAFFEINEOPIUM | 1 | Oral | Y | 20973 | 2 | DF | TABLET | QD | ||||||
| 127225451 | 12722545 | 3 | SS | LASILIX | FUROSEMIDE | 1 | Oral | Y | 20973 | 20 | MG | TABLET | QD | ||||||
| 127225451 | 12722545 | 4 | C | AMIODARONE | AMIODARONE | 1 | Oral | 200 MG ONCE DAILY, 5 DAYS PER WEEK. | 0 | UNKNOWN | |||||||||
| 127225451 | 12722545 | 5 | C | LEVOTHYROX | LEVOTHYROXINE | 1 | Oral | 0 | 100 | UG | TABLET | QD | |||||||
| 127225451 | 12722545 | 6 | C | PREVISCAN | FLUINDIONE | 1 | Oral | 0 | .25 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127225451 | 12722545 | 1 | Product used for unknown indication |
| 127225451 | 12722545 | 2 | Spinal pain |
| 127225451 | 12722545 | 3 | Product used for unknown indication |
| 127225451 | 12722545 | 4 | Product used for unknown indication |
| 127225451 | 12722545 | 5 | Product used for unknown indication |
| 127225451 | 12722545 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127225451 | 12722545 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127225451 | 12722545 | Confusional state | |
| 127225451 | 12722545 | Hallucination, visual | |
| 127225451 | 12722545 | Nightmare | |
| 127225451 | 12722545 | Renal failure |
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 |
|---|---|---|---|---|---|---|
| 127225451 | 12722545 | 1 | 20160316 | 0 | ||
| 127225451 | 12722545 | 2 | 20160316 | 0 | ||
| 127225451 | 12722545 | 3 | 20160316 | 0 |