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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4429287 | 4196656 | I | 4429287-6 | 20040223 | 20040818 | DIR | 47 | YR | M | N | 358 | LBS | 20040817 | PH | Y | N |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4429287 | 1005126058 | PS | AUGMENTIN '125' | 1 | ORAL | 400MG TID ORAL | Y | ||||
| 4429287 | 1005145433 | C | MERTFORMIN | 2 | |||||||
| 4429287 | 1005145434 | C | GLUCOTROL | 1 | |||||||
| 4429287 | 1005145435 | C | HYDROCHLOROTHIAZIDE | 1 | |||||||
| 4429287 | 1005145436 | C | LIPITOR | 1 | |||||||
| 4429287 | 1005145437 | C | CHILDREN'S ASPIRIN | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4429287 | 1005126058 | PNEUMONIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4429287 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4429287 | EXERCISE TOLERANCE DECREASED |
| 4429287 | FATIGUE |
| 4429287 | NEPHRITIS INTERSTITIAL |
| 4429287 | URINE FLOW DECREASED |
| 4429287 | URINE OUTPUT DECREASED |
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 |
|---|---|---|---|---|---|
| 4429287 | 1005126058 | 20040207 | 20040223 |