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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4304949 | 4106985 | I | 4304949-X | 20030101 | 20030701 | 20040223 | PER | TAP2003Q01607 | TAP PHARMACEUTICALS INC. | M | N | 20030714 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4304949 | 1004655079 | PS | LUPRON DEPOT-4 | 1 | 30 MG, 1 IN 4 M, UNKNOWN | D | 20517 | ||||
| 4304949 | 1004704123 | C | ALLOPURINOL | 1 | |||||||
| 4304949 | 1004704124 | C | PROTONIX | 1 | |||||||
| 4304949 | 1004704126 | C | UNIVASC | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4304949 | 1004655079 | PROSTATE CANCER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4304949 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 4304949 | INJECTION SITE ABSCESS |
| 4304949 | INJECTION SITE HAEMORRHAGE |
| 4304949 | INJECTION SITE NODULE |
| 4304949 | INJECTION SITE RASH |
| 4304949 | RASH GENERALISED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4304949 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4304949 | 1004655079 | 20021001 | 20030601 |