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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4544629 | 5712929 | I | 4544629-9 | 19971201 | 20041203 | 20041230 | EXP | 2004110496 | PFIZER INC | F | N | 20041229 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4544629 | 1005555233 | PS | PROVERA | 1 | U | U | 11839 | ||||
| 4544629 | 1005575079 | SS | PROVELLA-14 (ESTROGENS CONJUGATED, MEDROXYPROGESTERONE ACETATE) | 2 | U | U |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4544629 | 1005555233 | HORMONE REPLACEMENT THERAPY |
| 4544629 | 1005575079 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4544629 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4544629 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4544629 | CSM |
Therapies reported
| no results found |