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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4787283 | 5824737 | F | 2 | 4787283-3 | 20050422 | 20050914 | 20050930 | EXP | CAO05000699 | PROCTER + GAMBLE REGULATORY AFFAIRS | 77 | YR | M | N | 20050928 | CANADA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4787283 | 1006480328 | PS | METAMUCIL-2 | 1 | ORAL | 1 TBSP, 3/DAY FOR 4 DAYS, ORAL | D | D | 4240ARA1 | 20071201 | |
| 4787283 | 1006501563 | C | PLAVIX | 1 | |||||||
| 4787283 | 1006501564 | C | ASPIRIN | 1 | |||||||
| 4787283 | 1006501565 | C | NORVASC | 1 | |||||||
| 4787283 | 1006501566 | C | COZAAR | 1 | |||||||
| 4787283 | 1006501567 | C | LASIX (FUROSEMIDE SODIUM, FUROSEMIDE) | 2 | |||||||
| 4787283 | 1006501568 | C | ELTROXIN (LEVOTHYROXINE SODIUM) | 2 | |||||||
| 4787283 | 1006501569 | C | ZANTAC | 1 | |||||||
| 4787283 | 1006501570 | C | LOPRESSOR | 1 | |||||||
| 4787283 | 1006501572 | C | LIPITOR | 1 | |||||||
| 4787283 | 1006501573 | C | COLIC | 2 | |||||||
| 4787283 | 1006501602 | C | HYTRIN | 1 | |||||||
| 4787283 | 1006501618 | C | RAVOTRIL (CLONAZEPAM) | 2 | |||||||
| 4787283 | 1006501672 | C | TIAPROFENIC ACID (TIAPROFENIC ACID) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4787283 | 1006480328 | PROPHYLAXIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4787283 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4787283 | ABDOMINAL DISTENSION |
| 4787283 | DIARRHOEA |
| 4787283 | MALAISE |
| 4787283 | NAUSEA |
| 4787283 | NO REACTION ON PREVIOUS EXPOSURE TO DRUG |
| 4787283 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4787283 | VOMITING |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4787283 | CSM |
| 4787283 | FGN |
| 4787283 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4787283 | 1006480328 | 20050422 | 20050513 |