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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466791 | 5665033 | I | 4466791-9 | 20010101 | 20040922 | 20040930 | EXP | TPA2004A01147 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 53 | YR | F | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466791 | 1005268383 | PS | ACTOS | 1 | ORAL | 30 MG, 1 IN 1 D, PER ORAL (SEE IMAGE) | D | D | 21073 | ||
| 4466791 | 1005290621 | SS | AMARYL | 1 | ORAL | 2 MG, 1 IN 1 D; PER ORAL | |||||
| 4466791 | 1005290622 | SS | GLUCOPHAGE | 1 | ORAL | 850 MG, 2 IN 1 D; PER ORAL | |||||
| 4466791 | 1005290624 | C | ACCUPRIL (QUINAPRIL HYDROCHLORIDE) (40 MILLIGRAM) | 2 | |||||||
| 4466791 | 1005290625 | C | NORVASC (AMLODIPINE) (5 MILLIGRAM) | 2 | |||||||
| 4466791 | 1005290628 | C | HCTZ (HYDROCHLOROTHIAZIDE) (12.5 MILLIGRAM) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4466791 | 1005268383 | DIABETES MELLITUS NON-INSULIN-DEPENDENT |
| 4466791 | 1005290621 | DIABETES MELLITUS NON-INSULIN-DEPENDENT |
| 4466791 | 1005290622 | DIABETES MELLITUS NON-INSULIN-DEPENDENT |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4466791 | DS |
| 4466791 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 4466791 | BLINDNESS |
| 4466791 | BLOOD GLUCOSE DECREASED |
| 4466791 | DIZZINESS |
| 4466791 | EYELID BLEEDING |
| 4466791 | HAEMORRHAGE |
| 4466791 | TREMOR |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4466791 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4466791 | 1005268383 | 20040722 |