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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4915191 | 5990013 | I | 4915191-3 | 20050812 | 20060216 | DIR | F | N | 134 | LBS | 20051128 | PH | N | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4915191 | 1006947757 | PS | BACTRIM DS | 1 | ORAL | UNKNOWN, PO - PRIOR TO ADMISSION | Y | D | |||
| 4915191 | 1006969808 | C | PRINIZIDE 20/25 | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4915191 | 1006947757 | URINARY TRACT INFECTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4915191 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4915191 | ABDOMINAL PAIN UPPER |
| 4915191 | ASTHENIA |
| 4915191 | CHEST PAIN |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |