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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784340 | 5888838 | I | 4784340-2 | 20050906 | 20050930 | EXP | 200516904US | AVENTIS PHARMACEUTICALS, INC. | M | Y | 84 | KG | 20050930 | CN | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784340 | 1006470480 | PS | LOVENOX | 1 | PARENTERAL | UNK | 020164 | ||||
| 4784340 | 1006470481 | C | TEMODAR | 1 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470482 | C | RADIATION | 2 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470483 | C | KEPPRA | 1 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470484 | C | ANTIDEPRESSANTS | 2 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470485 | C | ASCORBIC ACID | 1 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470486 | C | COENZYME Q10 | 1 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470487 | C | MULTIVITAMINS, PLAIN | 2 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470488 | C | GRAPESEED | 2 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470489 | C | FLAXSEED OIL | 2 | DOSE: UNKNOWN | UNKNOWN | |||||
| 4784340 | 1006470490 | C | MAGNESIUM | 2 | DOSE: UNKNOWN | UNKNOWN |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4784340 | 1006470480 | THROMBOSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4784340 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4784340 | ANGINA PECTORIS |
| 4784340 | CARDIAC VALVE DISEASE |
| 4784340 | HEART VALVE INSUFFICIENCY |
| 4784340 | INCORRECT ROUTE OF DRUG ADMINISTRATION |
| 4784340 | INJECTION SITE HAEMORRHAGE |
| 4784340 | PAIN |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4784340 | 1006470480 | 20050608 | |||
| 4784340 | 1006470481 | 20050301 | 20050414 | ||
| 4784340 | 1006470482 | 20050301 | 20050414 |