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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4337120 | 5735044 | I | 4337120-6 | 20040302 | 20040325 | 20040408 | EXP | 2004-BP-03501AU | B.I. PTY. LTD. AUSTRALIA | 66 | YR | M | N | 20040407 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4337120 | 1004780245 | PS | MOBIC | 1 | ORAL | 7.5 MG (7.5 MG, 1 DAILY) | D | D | 20938 | ||
| 4337120 | 1004799959 | C | MAREVAN | 2 | |||||||
| 4337120 | 1004799960 | C | NEXIUM | 1 | |||||||
| 4337120 | 1004799961 | C | DILATREND | 2 | |||||||
| 4337120 | 1004799962 | C | LIPITOR | 1 | |||||||
| 4337120 | 1004799964 | C | MONOPRIL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4337120 | 1004780245 | OSTEOARTHRITIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4337120 | HO |
| 4337120 | LT |
Reactions reported
| Event ID | PT |
|---|---|
| 4337120 | DUODENAL ULCER HAEMORRHAGE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4337120 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4337120 | 1004780245 | 20040105 | 20040302 | 2 | MON |