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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390694 | 4152564 | F | 4 | 4390694-1 | 20031122 | 20040622 | 20040630 | EXP | 200416429BWH | BAYER PHARMACEUTICALS CORPORATION | 61 | YR | M | N | 246 | LBS | 20040629 | MD |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390694 | 1004990063 | PS | LEVITRA | 1 | ORAL | 10 MG, PRN, ORAL | 21400 | ||||
| 4390694 | 1005011556 | C | DILTIAZEM | 1 | |||||||
| 4390694 | 1005011557 | C | ULTRAM | 1 | |||||||
| 4390694 | 1005011558 | C | ATENOLOL | 2 | |||||||
| 4390694 | 1005011559 | C | LASIX /SWE/ | 2 | |||||||
| 4390694 | 1005011560 | C | ECOTRIN | 2 | |||||||
| 4390694 | 1005011561 | C | K+ | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4390694 | 1004990063 | ORGANIC ERECTILE DYSFUNCTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4390694 | HO |
| 4390694 | LT |
Reactions reported
| Event ID | PT |
|---|---|
| 4390694 | ARTERIAL SPASM |
| 4390694 | ARTERIOSPASM CORONARY |
| 4390694 | BLOOD GLUCOSE INCREASED |
| 4390694 | ELECTROCARDIOGRAM ST-T CHANGE |
| 4390694 | INSOMNIA |
| 4390694 | ISCHAEMIA |
| 4390694 | MITRAL VALVE INCOMPETENCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4390694 | HP |
| 4390694 | OTH |
| 4390694 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4390694 | 1004990063 | 20031122 |