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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4871961 | 5959647 | I | 4871961-1 | 20051216 | 20051221 | 20051230 | EXP | S05-USA-05277-01 | FOREST LABORATORIES INC. | 79 | YR | F | N | 20051228 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4871961 | 1006786239 | PS | NAMENDA | 1 | ORAL | 5 MG QD PO | Y | D | 21487 | ||
| 4871961 | 1006814227 | C | FLONASE (FLUTICASONE PROPINATE) | 2 | |||||||
| 4871961 | 1006814228 | C | AMBIEN | 1 | |||||||
| 4871961 | 1006814229 | C | PREVACID | 1 | |||||||
| 4871961 | 1006814230 | C | HYOSCYAMINE | 2 | |||||||
| 4871961 | 1006814231 | C | PRAVACHOL | 1 | |||||||
| 4871961 | 1006814232 | C | ACETAMINOPHEN | 1 | |||||||
| 4871961 | 1006814233 | C | COZAAR | 1 | |||||||
| 4871961 | 1006814234 | C | VICODIN | 1 | |||||||
| 4871961 | 1006814235 | C | DIFLUCAN (FLUCONAZOLE) | 2 | |||||||
| 4871961 | 1006814236 | C | LORAZEPAM | 1 | |||||||
| 4871961 | 1006814237 | C | LIDOCAINE | 1 | |||||||
| 4871961 | 1006814238 | C | DITROPAN | 1 | |||||||
| 4871961 | 1006814239 | C | ELMIRON | 1 | |||||||
| 4871961 | 1006814240 | C | URISPAS | 1 | |||||||
| 4871961 | 1006814241 | C | PREMARIN | 1 | |||||||
| 4871961 | 1006814242 | C | NYSTATIN | 1 | |||||||
| 4871961 | 1006814243 | C | METOPROLOL | 2 | |||||||
| 4871961 | 1006814244 | C | DARVOCET (PROPOXYPHENE/ACETAMINOPHEN) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4871961 | 1006786239 | CEREBROVASCULAR ACCIDENT |
| 4871961 | 1006786239 | NERVOUS SYSTEM DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4871961 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4871961 | DEAFNESS UNILATERAL |
| 4871961 | HYPOACUSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4871961 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4871961 | 1006786239 | 20051212 | 20051220 |