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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504189 | 5688220 | I | 4504189-5 | 20041029 | 20041117 | EXP | 20041100480 | BAXTER HEALTHCARE CORPORATION | 92 | YR | M | N | 20041110 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504189 | 1005397741 | PS | FAMOTIDINE | 1 | 20 MG BID NG | Y | D | 75591 | |||
| 4504189 | 1005438327 | C | GLYBURIDE | 1 | |||||||
| 4504189 | 1005438328 | C | LISINOPRIL | 1 | |||||||
| 4504189 | 1005438332 | C | FUROSEMIDE | 1 | |||||||
| 4504189 | 1005438339 | C | COLACE | 2 | |||||||
| 4504189 | 1005438340 | C | ACETAMINOPHEN AND HYDROCODONE BITARTRATE | 1 | |||||||
| 4504189 | 1005438349 | C | ZOLPIDEM | 2 | |||||||
| 4504189 | 1005438350 | C | ASPIRIN | 1 | |||||||
| 4504189 | 1005438353 | C | HEPARIN | 2 | |||||||
| 4504189 | 1005438355 | C | METOPROLOL | 2 | |||||||
| 4504189 | 1005438368 | C | FENTANYL | 1 | |||||||
| 4504189 | 1005438373 | C | MIDAZOLAM | 1 | |||||||
| 4504189 | 1005438374 | C | VITAMIN K | 2 | |||||||
| 4504189 | 1005438376 | C | INSULIN | 1 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4504189 | DE |
| 4504189 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4504189 | ACUTE MYOCARDIAL INFARCTION |
| 4504189 | CONDITION AGGRAVATED |
| 4504189 | ELECTROCARDIOGRAM QT CORRECTED INTERVAL PROLONGED |
| 4504189 | LONG QT SYNDROME |
| 4504189 | MULTI-ORGAN FAILURE |
| 4504189 | RENAL FAILURE |
| 4504189 | SEPSIS |
| 4504189 | TORSADE DE POINTES |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4504189 | DT |
| 4504189 | HP |
| 4504189 | LIT |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4504189 | 1005397741 | 5 | DAY |