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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127868021 | 12786802 | 1 | I | 20160913 | 20160927 | 20160927 | EXP | GB-ALLERGAN-1000087683 | ALLERGAN | 87.00 | YR | M | Y | 0.00000 | 20160927 | OT | DK | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127868021 | 12786802 | 1 | PS | MEMANTINE HCL Unk | MEMANTINE HYDROCHLORIDE | 1 | Oral | 10 MG, BID | 21487 | 10 | MG | BID | |||||||
| 127868021 | 12786802 | 2 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | Unknown | U | 0 | ||||||||||
| 127868021 | 12786802 | 3 | C | PARACETAMOL | ACETAMINOPHEN | 1 | Unknown | U | 0 | ||||||||||
| 127868021 | 12786802 | 4 | C | SALBUTAMOL | ALBUTEROL | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127868021 | 12786802 | 1 | Dementia Alzheimer's type |
| 127868021 | 12786802 | 2 | Product used for unknown indication |
| 127868021 | 12786802 | 3 | Product used for unknown indication |
| 127868021 | 12786802 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127868021 | 12786802 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127868021 | 12786802 | Bradycardia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |