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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4355529 | 5710383 | I | 4355529-1 | 20040303 | 20040428 | 20040510 | EXP | FR-BRISTOL-MYERS SQUIBB COMPANY-12573176 | BRISTOL-MYERS SQUIBB COMPANY | 82 | YR | F | Y | 20040510 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4355529 | 1004849103 | PS | AMIKLIN INJ | 2 | INTRAVENOUS | ||||||
| 4355529 | 1004849104 | SS | CIPROFLOXACIN | 1 | ORAL | ||||||
| 4355529 | 1004849105 | SS | VALACYCLOVIR HCL | 1 | ORAL | ||||||
| 4355529 | 1004849106 | SS | FLUCONAZOLE | 1 | ORAL | INITIATED AT 50 MG DAILY, INCREASED TO 200 MG DAILY ON 09-MAR-2004 | |||||
| 4355529 | 1004849107 | SS | PRIMAXIN | 1 | INTRAVENOUS | ||||||
| 4355529 | 1004849108 | C | KARDEGIC | 2 | |||||||
| 4355529 | 1004849109 | C | LEVOTHYROXINE SODIUM | 1 | |||||||
| 4355529 | 1004849110 | C | OMEPRAZOLE | 1 | |||||||
| 4355529 | 1004849111 | C | CORDARONE | 1 | |||||||
| 4355529 | 1004849112 | C | GARDENAL | 2 | |||||||
| 4355529 | 1004849113 | C | ASPEGIC 325 | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4355529 | 1004849103 | SEPSIS |
| 4355529 | 1004849104 | SEPSIS |
| 4355529 | 1004849105 | HERPES ZOSTER |
| 4355529 | 1004849106 | CANDIDIASIS |
| 4355529 | 1004849107 | SEPSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4355529 | HO |
| 4355529 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4355529 | CANDIDIASIS |
| 4355529 | ERYTHEMA |
| 4355529 | HERPES ZOSTER |
| 4355529 | PRURITUS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4355529 | 1004849103 | 20040224 | 20040311 | 17 | |
| 4355529 | 1004849104 | 20040224 | 20040311 | 17 | |
| 4355529 | 1004849105 | 20040303 | |||
| 4355529 | 1004849106 | 20040306 | |||
| 4355529 | 1004849107 | 20040224 | 20040311 | 17 | |
| 4355529 | 1004849108 | 20040308 |