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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4544625 | 5712653 | I | 4544625-1 | 20041108 | 20041221 | 20041230 | EXP | USA-2004-0018096 | PURDUE PHARMACEUTICAL PRODUCTS L.P. | 65 | YR | M | N | 20041229 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4544625 | 1005555226 | PS | CEFIDTOREN PIVOXIL(SIMILAR TO NDA 21-222)(CEFDITOREN PIVOXIL) OTHER | 2 | ORAL | 100 MG, SINGLE , ORAL | Y | D | 21222 | ||
| 4544625 | 1005573484 | C | PEON(ZALTOPROFEN) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4544625 | 1005555226 | INFECTION PROPHYLAXIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4544625 | HO |
| 4544625 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 4544625 | ANAPHYLACTIC SHOCK |
| 4544625 | LOSS OF CONSCIOUSNESS |
| 4544625 | VENTRICULAR EXTRASYSTOLES |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4544625 | FGN |
| 4544625 | HP |
| 4544625 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4544625 | 1005555226 | 20041108 | 20041108 |