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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4428773 | 4192777 | I | 4428773-2 | 20040301 | 20040525 | 20040818 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-12595948 | BRISTOL-MYERS SQUIBB COMPANY | 66 | YR | F | Y | 54 | KG | 20040818 | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4428773 | 1005123442 | PS | TEQUIN | 1 | ORAL | ||||||
| 4428773 | 1005123443 | C | TRICOR | 1 | |||||||
| 4428773 | 1005123444 | C | ZETIA | 1 | |||||||
| 4428773 | 1005123445 | C | ASPIRIN | 1 | 81 GRAINS | ||||||
| 4428773 | 1005123446 | C | VITAMIN E | 1 | |||||||
| 4428773 | 1005123447 | C | VITAMIN C | 2 | |||||||
| 4428773 | 1005123448 | C | CENTRUM | 2 | |||||||
| 4428773 | 1005123449 | C | FOSAMAX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4428773 | 1005123442 | PNEUMONIA |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4428773 | AMNESIA |
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 |
|---|---|---|---|---|---|
| 4428773 | 1005123442 | 20040302 |