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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4365388 | 4121712 | F | 1 | 4365388-9 | 20030122 | 20040510 | 20040525 | EXP | 04P-122-0254736-00 | PPD PHARMACOVIGILANCE | 32 | YR | F | N | 20040510 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4365388 | 1004893156 | PS | BIAXIN | 1 | ORAL | 250 MG, 2 IN 1 D, ORAL | U | D | 50662 | ||
| 4365388 | 1004906359 | C | EUGYNON | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4365388 | 1004893156 | TONSILLITIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4365388 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4365388 | ABDOMINAL PAIN |
| 4365388 | ARTHRALGIA |
| 4365388 | BACK PAIN |
| 4365388 | FATIGUE |
| 4365388 | GLOMERULONEPHRITIS |
| 4365388 | HEADACHE |
| 4365388 | IMPAIRED WORK ABILITY |
| 4365388 | OEDEMA PERIPHERAL |
| 4365388 | VERTIGO |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4365388 | FGN |
| 4365388 | HP |
| 4365388 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4365388 | 1004893156 | 20030121 | 20030126 |