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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4354121 | 5734098 | I | 4354121-2 | 20040205 | 20040419 | 20040430 | EXP | 2004-UK-00381UK | BOEHRINGER INGELHEIM LTD./BRACKNELL | 83 | YR | F | N | 20040428 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4354121 | 1004842993 | PS | MOBIC | 1 | ORAL | PO | 20938 | ||||
| 4354121 | 1004857764 | C | THYROID TAB | 1 | |||||||
| 4354121 | 1004857765 | C | ATENOLOL | 1 | |||||||
| 4354121 | 1004857766 | C | FUROSEMIDE | 1 | |||||||
| 4354121 | 1004857768 | C | CO-AMILOFRUSE (FRUMIL) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4354121 | 1004842993 | ANTIINFLAMMATORY THERAPY |
| 4354121 | 1004842993 | ARTHROPATHY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4354121 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4354121 | ORAL PAIN |
| 4354121 | STOMATITIS |
| 4354121 | SWOLLEN TONGUE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4354121 | FGN |
| 4354121 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4354121 | 1004842993 | 20040205 |