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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4466776 | 5665027 | I | 4466776-2 | 20020101 | 20040914 | 20040930 | EXP | 2004234260US | PFIZER INC. | F | N | 20040927 | LW |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4466776 | 1005268275 | PS | PROVERA | 1 | U | U | 11839 | ||||
4466776 | 1005290629 | SS | PREMARIN | 1 | U | U | |||||
4466776 | 1005290630 | SS | PREMPRO | 1 | U | U |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4466776 | 1005268275 | HORMONE REPLACEMENT THERAPY |
4466776 | 1005290629 | HORMONE REPLACEMENT THERAPY |
4466776 | 1005290630 | HORMONE REPLACEMENT THERAPY |
Outcome of event
Event ID | OUTC COD |
---|---|
4466776 | OT |
Reactions reported
Event ID | PT |
---|---|
4466776 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4466776 | OTH |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4466776 | 1005268275 | 19920101 | 20020101 | ||
4466776 | 1005290629 | 19920101 | 20020101 | ||
4466776 | 1005290630 | 19920101 | 20020101 |