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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331049 | 4122440 | I | 4331049-5 | 20040314 | 20040318 | 20040331 | EXP | 2004018942 | WWS PFIZER INC | 68 | YR | F | N | 150 | LBS | 20040330 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331049 | 1004758795 | PS | ZOLOFT | 1 | ORAL | 25 MG (DAILY), ORAL | Y | D | 19839 | ||
| 4331049 | 1004773535 | SS | NITROGLYCERIN | 1 | Y | N | |||||
| 4331049 | 1004773537 | SS | ACETYLSALICYLIC ACID SRT | 1 | Y | N | |||||
| 4331049 | 1004773538 | SS | EZETIMIBE (EZETIMIBE) | 2 | Y | N | |||||
| 4331049 | 1004773540 | SS | METOPROLOL TARTRATE | 1 | Y | N | |||||
| 4331049 | 1004773542 | SS | WARFARIN SODIUM | 1 | Y | N |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4331049 | 1004758795 | DEPRESSION |
| 4331049 | 1004773535 | ANGINA PECTORIS |
| 4331049 | 1004773537 | CORONARY ARTERY DISEASE |
| 4331049 | 1004773538 | BLOOD CHOLESTEROL INCREASED |
| 4331049 | 1004773540 | CARDIAC VALVE DISEASE |
| 4331049 | 1004773540 | EXTRASYSTOLES |
| 4331049 | 1004773540 | TACHYCARDIA |
| 4331049 | 1004773542 | PULMONARY EMBOLISM |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4331049 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4331049 | BLOOD PRESSURE INCREASED |
| 4331049 | BURNING SENSATION |
| 4331049 | CEREBROVASCULAR ACCIDENT |
| 4331049 | CONFUSIONAL STATE |
| 4331049 | DRUG INTERACTION |
| 4331049 | HYPOAESTHESIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4331049 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4331049 | 1004758795 | 20040313 | 20040313 |