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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390411 | 4165153 | F | 1 | 4390411-5 | 20040616 | 20040630 | EXP | 2004039501 | PFIZER INC | 72 | YR | F | N | 163 | LBS | 20040628 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390411 | 1004989430 | PS | TIKOSYN | 1 | ORAL | 1000 MCG (500 MCG, 2 IN 1 D), ORAL | Y | D | 20931 | ||
| 4390411 | 1005004273 | C | DIGOXIN | 1 | |||||||
| 4390411 | 1005004274 | C | LANSOPRAZOLE | 1 | |||||||
| 4390411 | 1005004277 | C | TOLTERODINE L-TARTRATE (TOLTERODINE L-TARTRATE) | 2 | |||||||
| 4390411 | 1005004279 | C | LISINOPRIL | 1 | |||||||
| 4390411 | 1005004280 | C | BRIMONIDINE TARTRATE (BRIMONIDINE TARTRATE) | 2 | |||||||
| 4390411 | 1005004281 | C | LATANOPROST | 1 | |||||||
| 4390411 | 1005004282 | C | ACETAZOLAMIDE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4390411 | 1004989430 | ATRIAL FIBRILLATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4390411 | HO |
| 4390411 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4390411 | ATRIAL FIBRILLATION |
| 4390411 | CATARACT |
| 4390411 | CONDITION AGGRAVATED |
| 4390411 | ELECTROCARDIOGRAM QT PROLONGED |
| 4390411 | HAEMORRHAGE |
| 4390411 | LABILE HYPERTENSION |
| 4390411 | RECTAL POLYP |
| 4390411 | SINUS BRADYCARDIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4390411 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4390411 | 1004989430 | 20020101 |