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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4352407 | 5713613 | I | 4352407-9 | 20040227 | 20040415 | 20040428 | EXP | 2004025807 | WWS PFIZER INC | 78 | YR | F | N | 20040427 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4352407 | 1004836171 | PS | ZOLOFT | 1 | Y | D | 19839 | ||||
| 4352407 | 1004852460 | SS | SPIRONOLACTONE, ALTIZIDE (ALTIZIDE SPIRONOLACTONE) | 2 | Y | D | |||||
| 4352407 | 1004852462 | SS | PANTOPRAZOLE SODIUM | 1 | Y | D | |||||
| 4352407 | 1004852463 | C | PERINDOPRIL (PERINDOPRIL) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4352407 | 1004836171 | ILL-DEFINED DISORDER |
| 4352407 | 1004852460 | ILL-DEFINED DISORDER |
| 4352407 | 1004852462 | ILL-DEFINED DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4352407 | HO |
| 4352407 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4352407 | DEPRESSED LEVEL OF CONSCIOUSNESS |
| 4352407 | FALL |
| 4352407 | HYPONATRAEMIA |
| 4352407 | NERVOUS SYSTEM DISORDER |
| 4352407 | SOMNOLENCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4352407 | FGN |
| 4352407 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4352407 | 1004836171 | 20040218 | 20040227 | ||
| 4352407 | 1004852460 | 20040227 | |||
| 4352407 | 1004852462 | 20040206 | 20040227 |