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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465956 | 5675063 | I | 4465956-X | 20040420 | 20040915 | 20040930 | EXP | A-CH2004-07144 | ACTELION PHARMACEUTICALS US, INC, | 55 | YR | F | N | 20040929 | MD | 20040512 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465956 | 1005264971 | PS | TRACLEER | 1 | ORAL | SEE IMAGE | D | D | 21290 | ||
| 4465956 | 1005287163 | C | LEVOTHYROXINE SODIUM | 1 | |||||||
| 4465956 | 1005287166 | C | ATORVASTATIN CALCIUM | 1 | |||||||
| 4465956 | 1005287167 | C | CAPTOPRIL | 1 | |||||||
| 4465956 | 1005287168 | C | DILZEM (DILTIAZEM HYDROCHLORIDE) | 2 | |||||||
| 4465956 | 1005287171 | C | MARCUMAR | 1 | |||||||
| 4465956 | 1005287176 | C | NITR-SPRAY (ISOSRBIDE DINITRATE) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4465956 | 1005264971 | PULMONARY HYPERTENSION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4465956 | DE |
| 4465956 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4465956 | CONDITION AGGRAVATED |
| 4465956 | PULMONARY HYPERTENSION |
| 4465956 | RIGHT VENTRICULAR FAILURE |
| 4465956 | SINUS TACHYCARDIA |
| 4465956 | TRANSAMINASES INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4465956 | FGN |
| 4465956 | HP |
| 4465956 | OTH |
| 4465956 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4465956 | 1005264971 | 20040310 | 20040401 | ||
| 4465956 | 1005264971 | 20040401 | 20040512 |