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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4738397 | 5834619 | F | 4738397-5 | 20050324 | 20050704 | 20050809 | EXP | FR-GLAXOSMITHKLINE-B0387006A | GLAXOSMITHKLINE | 57 | YR | M | Y | 120 | KG | 20050809 | CN | 20050604 | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4738397 | 1006296847 | PS | AUGMENTIN '125' | 1 | UNKNOWN | 50564 | |||||
| 4738397 | 1006296848 | SS | FLAGYL | 1 | UNKNOWN | ||||||
| 4738397 | 1006296849 | SS | CARDENSIEL | 2 | UNKNOWN | ||||||
| 4738397 | 1006296850 | SS | PREVISCAN 20 | 2 | ORAL | ||||||
| 4738397 | 1006296851 | C | MONICOR LP | 2 | UNKNOWN | ||||||
| 4738397 | 1006296852 | C | ZESTRIL | 1 | UNKNOWN | ||||||
| 4738397 | 1006296853 | C | PLAVIX | 1 | UNKNOWN | ||||||
| 4738397 | 1006296854 | C | LASIX | 1 | UNKNOWN | ||||||
| 4738397 | 1006296855 | C | CORDARONE | 1 | UNKNOWN |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4738397 | 1006296847 | SKIN ULCER |
| 4738397 | 1006296848 | SKIN ULCER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4738397 | DE |
| 4738397 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4738397 | DERMATITIS BULLOUS |
| 4738397 | LEG AMPUTATION |
| 4738397 | LEUKOCYTOCLASTIC VASCULITIS |
| 4738397 | PURPURA |
| 4738397 | RASH PRURITIC |
| 4738397 | SEPSIS |
| 4738397 | SEPTIC SHOCK |
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 |
|---|---|---|---|---|---|
| 4738397 | 1006296847 | 20050320 | 20050323 | 4 | DAY |
| 4738397 | 1006296848 | 20050320 | 20050323 | 4 | DAY |
| 4738397 | 1006296850 | 20050324 |