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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504453 | 5682908 | I | 4504453-X | 20040915 | 20041117 | DIR | 72 | YR | M | N | 243 | LBS | 20041021 | PH | N | N |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504453 | 1005398788 | PS | PHENYTOIN ERC 100 MG MYLAN | 2 | 200 MG ALT W/300 MG AM 300 MG Q HS [ MANY YEARS] | D | D | ||||
| 4504453 | 1005427113 | C | ASPIRIN | 1 | |||||||
| 4504453 | 1005427115 | C | FUROSEMIDE | 1 | |||||||
| 4504453 | 1005427116 | C | METOPROLOL | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4504453 | 1005398788 | COMPLEX PARTIAL SEIZURES |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4504453 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4504453 | DRUG LEVEL DECREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |