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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465952 | 5664772 | I | 4465952-2 | 20040806 | 20040917 | 20040930 | EXP | RS004716-F | EISAI INC. | 39 | YR | M | N | 20040924 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465952 | 1005264920 | PS | RABEPRAZOLE SODIUM | 1 | ORAL | ORAL | U | D | 20973 | ||
| 4465952 | 1005287905 | SS | OMEPRAZOLE | 1 | 10 MG | U | D | ||||
| 4465952 | 1005287907 | C | MYOLASTAN (TETRAZEPAM) | 2 | |||||||
| 4465952 | 1005287914 | C | KESTIN (EBASTINE) | 2 | Y |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4465952 | 1005264920 | ABDOMINAL PAIN |
| 4465952 | 1005287905 | ABDOMINAL PAIN |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4465952 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4465952 | ANAEMIA |
| 4465952 | ARTHRALGIA |
| 4465952 | BONE PAIN |
| 4465952 | FACE OEDEMA |
| 4465952 | HYPERTENSION |
| 4465952 | LOCALISED OEDEMA |
| 4465952 | MUSCLE CONTRACTURE |
| 4465952 | MYALGIA |
| 4465952 | NECK PAIN |
| 4465952 | OEDEMA PERIPHERAL |
| 4465952 | PROTEINURIA |
| 4465952 | RENAL FAILURE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4465952 | FGN |
| 4465952 | HP |
| 4465952 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4465952 | 1005287905 | 20040806 | 20040808 |