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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4786726 | 5895040 | I | 4786726-9 | 20020711 | 20050926 | 20050930 | EXP | 005736 | BARR LABORATORIES | 57 | YR | F | N | 20050929 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4786726 | 1006478229 | PS | MEDROXYPROGESTERONE ACETATE | 1 | ORAL | ORAL | U | U | 40159 | ||
| 4786726 | 1006498628 | SS | PREMARIN | 1 | ORAL | ORAL | U | U |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4786726 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4786726 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4786726 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4786726 | 1006478229 | 19940101 | 20020101 | ||
| 4786726 | 1006498628 | 19940101 | 20020101 |