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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331050 | 4116704 | F | 1 | 4331050-1 | 20040111 | 20040324 | 20040331 | EXP | 2004UW04810 | ASTRAZENECA PHARMACEUTICALS | 89 | YR | M | N | 149 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331050 | 1004758798 | PS | PRILOSEC | 1 | ORAL | 20 MG DAILY PO | D | D | 19810 | ||
| 4331050 | 1004767832 | SS | PRILOSEC | 1 | ORAL | 20 MG DAILY PO | N | D | 3197145341 | 20050501 | |
| 4331050 | 1004767833 | C | ALOPURINOL | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4331050 | 1004767832 | HIATUS HERNIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4331050 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4331050 | FAECES DISCOLOURED |
| 4331050 | GASTROINTESTINAL HAEMORRHAGE |
| 4331050 | HAEMATOCRIT ABNORMAL |
| 4331050 | HAEMATOLOGY TEST ABNORMAL |
| 4331050 | HAEMOGLOBIN ABNORMAL |
| 4331050 | INTESTINAL POLYP |
| 4331050 | JOINT STIFFNESS |
| 4331050 | LYMPHOCYTE MORPHOLOGY ABNORMAL |
| 4331050 | MONOCYTE COUNT ABNORMAL |
| 4331050 | MUSCULOSKELETAL STIFFNESS |
| 4331050 | PLATELET DISORDER |
| 4331050 | RED BLOOD CELL COUNT ABNORMAL |
| 4331050 | WEIGHT DECREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4331050 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4331050 | 1004758798 | 15 | YR | ||
| 4331050 | 1004767832 | 20031101 | 20040111 |