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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127774981 | 12777498 | 1 | I | 201509 | 20151020 | 20160924 | 20160924 | PER | US-TEVA-603513USA | TEVA | 79.48 | YR | F | Y | 81.72000 | KG | 20160924 | CN | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127774981 | 12777498 | 1 | PS | CLONAZEPAM. | CLONAZEPAM | 1 | Unknown | TAKES HALF A TABLET | 74569 | ||||||||||
| 127774981 | 12777498 | 2 | SS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Unknown | U | 0 | 23 | MG | ||||||||
| 127774981 | 12777498 | 3 | SS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | U | 0 | 5 | MG | |||||||||
| 127774981 | 12777498 | 4 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127774981 | 12777498 | 1 | Nervousness |
| 127774981 | 12777498 | 2 | Dementia |
| 127774981 | 12777498 | 3 | Dementia Alzheimer's type |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127774981 | 12777498 | Asthenia | |
| 127774981 | 12777498 | General physical health deterioration | |
| 127774981 | 12777498 | Hallucination | |
| 127774981 | 12777498 | Intentional product misuse | |
| 127774981 | 12777498 | Malaise | |
| 127774981 | 12777498 | Nausea | |
| 127774981 | 12777498 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 127774981 | 12777498 | 2 | 20150923 | 0 | ||
| 127774981 | 12777498 | 3 | 20150823 | 0 |