Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4301859 | 4093074 | I | 4301859-9 | 20040211 | 20040212 | 20040223 | EXP | ZA-GLAXOSMITHKLINE-B0323130A | GLAXOSMITHKLINE | 24 | YR | M | Y | 20040223 | MD |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4301859 | 1004643173 | PS | ZYBAN | 1 | 150MG TWICE PER DAY | ||||||
| 4301859 | 1004643174 | C | NO CONCURRENT MEDICATION | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4301859 | 1004643173 | EX-SMOKER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4301859 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4301859 | ABNORMAL BEHAVIOUR |
| 4301859 | AGGRESSION |
| 4301859 | AMNESIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4301859 | 1004643173 | 20040120 |