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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466788 | 4213043 | F | 1 | 4466788-9 | 20040825 | 20040917 | 20040930 | EXP | HQWYE665730AUG04 | WYETH LABS (RA) | 51 | YR | F | N | 20040929 | OT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466788 | 1005268340 | PS | EFFEXOR XR | 1 | ORAL | 300 MG 1X PER 1 DAY, ORAL | N | D | 20699 | ||
| 4466788 | 1005288101 | C | ALBUTEROL | 1 | |||||||
| 4466788 | 1005288102 | C | NEXIUM | 1 | |||||||
| 4466788 | 1005288104 | C | ASPIRIN | 1 | |||||||
| 4466788 | 1005288108 | C | LISINOPRIL | 1 | |||||||
| 4466788 | 1005288110 | C | SONATA | 1 | |||||||
| 4466788 | 1005288112 | C | SEROQUEL | 1 | |||||||
| 4466788 | 1005288114 | C | BENADRYL | 1 | |||||||
| 4466788 | 1005288115 | C | TYLENOL PM (DIPHENHYDRAMINE/PARACETAMOL) | 2 | |||||||
| 4466788 | 1005288118 | C | ASPIRIN | 1 | |||||||
| 4466788 | 1005288119 | C | GARLIC (GARLIC) | 2 | |||||||
| 4466788 | 1005288120 | C | VITAMIN C (ASCORBIC ACID) | 2 | |||||||
| 4466788 | 1005288121 | C | VITAMIN E | 1 | |||||||
| 4466788 | 1005288122 | C | CALCIUM (CALCIUM) | 2 | |||||||
| 4466788 | 1005288124 | C | HYDROCHLOROTHIAZIDE/TRIAMTERENE (HYDROCHLOROTHIAZIDE/TRIAMTERENE) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4466788 | 1005268340 | MAJOR DEPRESSION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4466788 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4466788 | ANXIETY |
| 4466788 | DISEASE RECURRENCE |
| 4466788 | GENERAL PHYSICAL HEALTH DETERIORATION |
| 4466788 | HALLUCINATION, VISUAL |
| 4466788 | MAJOR DEPRESSION |
| 4466788 | PSYCHIATRIC SYMPTOM |
| 4466788 | SUICIDAL IDEATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4466788 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4466788 | 1005268340 | 20020911 | 20040824 |