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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4429802 | 4197221 | I | 4429802-2 | 20031224 | 20040818 | DIR | 63 | YR | F | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4429802 | 1005129241 | PS | TORADOL | 1 | INTRAVENOUS | 30 MG ONCE INTRAVENOUS | Y | D | |||
| 4429802 | 1005148562 | C | DEXAMETHASONE | 1 | |||||||
| 4429802 | 1005148563 | C | PREMARIN | 1 | |||||||
| 4429802 | 1005148564 | C | PREVACID | 1 | |||||||
| 4429802 | 1005148565 | C | REGLAN | 1 | |||||||
| 4429802 | 1005148566 | C | PREDNISONE | 1 | |||||||
| 4429802 | 1005148567 | C | GUAIFENEX | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4429802 | 1005129241 | HEADACHE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4429802 | HO |
| 4429802 | LT |
| 4429802 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 4429802 | ANAPHYLACTIC REACTION |
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 |
|---|---|---|---|---|---|
| 4429802 | 1005129241 | 20041224 | 20041224 |