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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466789 | 4200802 | F | 2 | 4466789-0 | 20040730 | 20040917 | 20040930 | EXP | HQWYE231012AUG04 | WYETH LABS (RA) | 56 | YR | M | N | 65.83 | KG | 20040929 | MD |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466789 | 1005268352 | PS | RAPAMUNE | 1 | ORAL | 5 MG 1X PER 1 DAY, ORAL | D | D | 21083 | ||
| 4466789 | 1005288182 | C | PREDNISONE | 1 | |||||||
| 4466789 | 1005288184 | C | SANDIMMUNE | 1 | |||||||
| 4466789 | 1005288185 | C | HUMULIN (INSULIN HUMAN) | 2 | |||||||
| 4466789 | 1005288186 | C | LOPRESSOR | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4466789 | 1005268352 | PROPHYLAXIS AGAINST TRANSPLANT REJECTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4466789 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4466789 | ABDOMINAL ABSCESS |
| 4466789 | BACTEROIDES INFECTION |
| 4466789 | BLOOD CREATININE INCREASED |
| 4466789 | CANDIDIASIS |
| 4466789 | EPSTEIN-BARR VIRUS ANTIBODY POSITIVE |
| 4466789 | ESCHERICHIA INFECTION |
| 4466789 | HAEMATOCRIT DECREASED |
| 4466789 | HAEMOGLOBIN DECREASED |
| 4466789 | ILEAL PERFORATION |
| 4466789 | INTESTINAL PERFORATION |
| 4466789 | PLATELET COUNT INCREASED |
| 4466789 | STAPHYLOCOCCAL INFECTION |
| 4466789 | STREPTOCOCCAL ABSCESS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4466789 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4466789 | 1005268352 | 20040728 | 20040730 |