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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4627342 | 5758169 | F | 1 | 4627342-9 | 20050210 | 20050315 | 20050331 | EXP | T05-CAN-00847-01 | FOREST LABORATORIES INC. | 55 | YR | F | N | 104 | KG | 20050330 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4627342 | 1005848160 | PS | CELEXA | 1 | ORAL | 20 MG QD; PO | D | D | 20822 | ||
| 4627342 | 1005871300 | SS | CELEXA | 1 | ORAL | 20 MG QD; PO | D | D | |||
| 4627342 | 1005871305 | SS | CELEXA | 1 | ORAL | 20 MG BID; PO | Y | D | |||
| 4627342 | 1005871307 | SS | WARFARIN SODIUM | 1 | ORAL | 4 MG QW; PO | D | D | |||
| 4627342 | 1005871310 | SS | WARFARIN SODIUM | 1 | ORAL | 3 MG UNK; PO | D | D | |||
| 4627342 | 1005871311 | SS | WARFARIN SODIUM | 1 | ORAL | 2 MG QD; PO | D | D | |||
| 4627342 | 1005871321 | SS | WARFARIN SODIUM | 1 | ORAL | 3 MG QD; PO | D | D | |||
| 4627342 | 1005871323 | SS | WARFARIN SODIUM | 1 | ORAL | 4 MG UNK; PO | D | D | |||
| 4627342 | 1005871325 | SS | WARFARIN SODIUM | 1 | ORAL | 3 MG UNK; PO | D | D | |||
| 4627342 | 1005871326 | C | SYNTHROID | 1 | |||||||
| 4627342 | 1005871327 | C | MONOCOR (BISOPROLOL FUMARATE) | 2 | |||||||
| 4627342 | 1005871328 | C | FUROSEMIDE | 1 | |||||||
| 4627342 | 1005871329 | C | ACETYLSALICYLIC ACID SRT | 1 | |||||||
| 4627342 | 1005871332 | C | ZOCOR | 1 | |||||||
| 4627342 | 1005871334 | C | IRON | 2 | |||||||
| 4627342 | 1005871335 | C | K-DUR (OTASSIUM CHLORIDE) | 2 | |||||||
| 4627342 | 1005871336 | C | ZAROXOLYN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4627342 | 1005848160 | CORONARY ARTERY DISEASE |
| 4627342 | 1005848160 | DEPRESSION |
| 4627342 | 1005871300 | CORONARY ARTERY DISEASE |
| 4627342 | 1005871300 | DEPRESSION |
| 4627342 | 1005871305 | CORONARY ARTERY DISEASE |
| 4627342 | 1005871305 | DEPRESSION |
| 4627342 | 1005871307 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871307 | ATRIAL FIBRILLATION |
| 4627342 | 1005871310 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871310 | ATRIAL FIBRILLATION |
| 4627342 | 1005871311 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871311 | ATRIAL FIBRILLATION |
| 4627342 | 1005871321 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871321 | ATRIAL FIBRILLATION |
| 4627342 | 1005871323 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871323 | ATRIAL FIBRILLATION |
| 4627342 | 1005871325 | ARTIFICIAL HEART DEVICE USER |
| 4627342 | 1005871325 | ATRIAL FIBRILLATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4627342 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4627342 | CONTUSION |
| 4627342 | DRUG INTERACTION |
| 4627342 | HAEMATOMA |
| 4627342 | HAEMORRHAGIC DIATHESIS |
| 4627342 | INTERNATIONAL NORMALISED RATIO INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4627342 | FGN |
| 4627342 | HP |
| 4627342 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4627342 | 1005848160 | 20041222 | 20050131 | ||
| 4627342 | 1005871300 | 20050210 | |||
| 4627342 | 1005871305 | 20050201 | 20050209 | ||
| 4627342 | 1005871307 | 20050209 | |||
| 4627342 | 1005871310 | 20050209 | |||
| 4627342 | 1005871311 | 20050210 | 20050210 | ||
| 4627342 | 1005871321 | 20050211 | 20050214 | ||
| 4627342 | 1005871323 | 20050215 | |||
| 4627342 | 1005871325 | 20040215 |