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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4869376 | 5873514 | F | 4869376-5 | 20050516 | 20050830 | 20051230 | EXP | 2005UW12993 | AZPRODUW00 | 36 | YR | F | Y | 80 | KG | 20051230 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4869376 | 1006775861 | PS | PRILOSEC OTC | 1 | ORAL | 4352171971 | 21229 | ||||
| 4869376 | 1006775862 | SS | PRILOSEC OTC | 1 | ORAL | 4352171971 | 021229 | ||||
| 4869376 | 1006775863 | C | DEPO-PROVERA | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4869376 | 1006775861 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4869376 | 1006775863 | CONTRACEPTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4869376 | HO |
| 4869376 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4869376 | ABDOMINAL PAIN UPPER |
| 4869376 | CONVULSION |
| 4869376 | DYSPHEMIA |
| 4869376 | FORMICATION |
| 4869376 | HYPERSENSITIVITY |
| 4869376 | STOMACH DISCOMFORT |
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 |
|---|---|---|---|---|---|
| 4869376 | 1006775861 | 20050621 | 20050621 | 1 | DAY |
| 4869376 | 1006775862 | 20050516 | 20050530 | 15 | DAY |