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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331051 | 4121316 | I | 4331051-3 | 20040101 | 20040325 | 20040331 | EXP | 2004UW05858 | ASTRAZENECA PHARMACEUTICALS | 57 | YR | F | N | 20040330 | OT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331051 | 1004758799 | PS | PRILOSEC | 1 | D | D | 19810 | ||||
| 4331051 | 1004767880 | SS | PREVACID | 1 | ORAL | 15 MG BID PO | N | D | |||
| 4331051 | 1004767881 | SS | PREVACID | 1 | N | D | |||||
| 4331051 | 1004767882 | C | SYNTHROID | 1 | |||||||
| 4331051 | 1004767883 | C | XANAX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4331051 | 1004758799 | HYPERCHLORHYDRIA |
| 4331051 | 1004767880 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4331051 | 1004767880 | HYPERCHLORHYDRIA |
| 4331051 | 1004767881 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4331051 | 1004767881 | HYPERCHLORHYDRIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4331051 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4331051 | FLATULENCE |
| 4331051 | GASTROINTESTINAL PAIN |
| 4331051 | INCISION SITE ABSCESS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4331051 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4331051 | 1004758799 | 20040101 | |||
| 4331051 | 1004767880 | 20020930 | 20021001 |