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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466787 | 5665032 | I | 4466787-7 | 20040204 | 20040922 | 20040930 | EXP | TPA2004A01148 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 71 | YR | F | N | 170 | LBS | 20040929 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466787 | 1005268337 | PS | ACTOS | 1 | ORAL | 15 MG, 1 IN 1 D, PER ORAL | D | D | 21073 | ||
| 4466787 | 1005290444 | C | CARTIA XT | 1 | |||||||
| 4466787 | 1005290445 | C | PREVACID | 1 | |||||||
| 4466787 | 1005290446 | C | TOPROL-XL | 1 | |||||||
| 4466787 | 1005290447 | C | DIGOXIN | 1 | |||||||
| 4466787 | 1005290449 | C | LISINOPRIL | 1 | |||||||
| 4466787 | 1005290450 | C | WARFARIN SODIUM | 1 | |||||||
| 4466787 | 1005290451 | C | GLYBURIDE | 1 | |||||||
| 4466787 | 1005290452 | C | FUROSEMIDE | 1 | |||||||
| 4466787 | 1005290453 | C | LIPITOR | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4466787 | 1005268337 | DIABETES MELLITUS NON-INSULIN-DEPENDENT |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4466787 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4466787 | AMNESIA |
| 4466787 | CARDIAC DISORDER |
| 4466787 | CEREBROVASCULAR ACCIDENT |
| 4466787 | ILL-DEFINED DISORDER |
| 4466787 | MYOCARDIAL INFARCTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4466787 | CSM |
Therapies reported
| no results found |