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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303412 | 4100347 | I | 4303412-X | 20040101 | 20040203 | 20040223 | EXP | A02200400405 | SANOFI-SYNTHELABO | F | N | 20040211 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303412 | 1004648276 | PS | PLAVIX | 1 | ORAL | 300 MG LOADING DOSE THEN 75 MG DAILY, ORAL | D | D | 20839 | ||
| 4303412 | 1004674073 | C | ASPIRIN | 1 | |||||||
| 4303412 | 1004674076 | C | AGRASTAT (TIROFIBAN HYDROCHLORIDE) | 2 | |||||||
| 4303412 | 1004674077 | C | LOVENOX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4303412 | 1004648276 | CORONARY ANGIOPLASTY |
| 4303412 | 1004648276 | CORONARY ARTERIAL STENT INSERTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4303412 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4303412 | ACUTE MYOCARDIAL INFARCTION |
| 4303412 | CORONARY BYPASS THROMBOSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4303412 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4303412 | 1004648276 | 20040101 | 20040101 | 2 | DAY |