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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4358398 | 5722837 | I | 4358398-9 | 20031216 | 20040430 | 20040511 | EXP | K200400656 | KING PHARMACEUTICALS, INC. | 75 | YR | F | N | 87 | KG | 20040510 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4358398 | 1004862372 | PS | ALTACE | 1 | ORAL | ORAL | Y | D | 19901 | ||
| 4358398 | 1004875742 | SS | LEVOFLOXACIN | 1 | ORAL | SEE IMAGE, ORAL | Y | D | |||
| 4358398 | 1004875746 | SS | OFLOXACIN | 1 | INTRAVENOUS | INTRAVENOUS | Y | D | |||
| 4358398 | 1004875749 | C | AUGMENTIN | 1 | |||||||
| 4358398 | 1004875753 | C | ROCEPHIN | 1 | |||||||
| 4358398 | 1004875754 | C | OMEPRAZOLE | 1 | |||||||
| 4358398 | 1004875755 | C | DIGOXIN | 1 | |||||||
| 4358398 | 1004875756 | C | CORDARONE | 1 | |||||||
| 4358398 | 1004875758 | C | PREVISCAN (FLUINDIONE) | 2 | |||||||
| 4358398 | 1004875763 | C | FRAXIPARINE (HEPARIN-FRACTION, CALCIUM SALT) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4358398 | 1004875742 | PNEUMONIA |
| 4358398 | 1004875746 | PNEUMONIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4358398 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4358398 | DIARRHOEA |
| 4358398 | DRUG TOXICITY |
| 4358398 | ENTEROBACTER INFECTION |
| 4358398 | GASTROENTERITIS STAPHYLOCOCCAL |
| 4358398 | PYELONEPHRITIS |
| 4358398 | RENAL FAILURE ACUTE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4358398 | FGN |
| 4358398 | HP |
| 4358398 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4358398 | 1004862372 | 20031218 | 20031229 | ||
| 4358398 | 1004875742 | 20031219 | 20031220 | ||
| 4358398 | 1004875742 | 20031221 | 20031226 | ||
| 4358398 | 1004875746 | 20031215 | 20031219 |