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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4960041 | 6013001 | F | 4960041-2 | 20000101 | 20051102 | 20060331 | EXP | US-MERCK-0511USA00641 | MERCK HUMAN HEALTH DIVISION | 64 | YR | M | Y | 70 | KG | 20060403 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4960041 | 1007119020 | C | ASPIRIN | 1 | UNKNOWN | ||||||
| 4960041 | 1007119021 | C | ALBUTEROL | 2 | RESPIRATORY (INHALATION) | ||||||
| 4960041 | 1007119022 | C | AZMACORT | 1 | RESPIRATORY (INHALATION) | ||||||
| 4960041 | 1007119023 | C | ADVAIR DISKUS 100/50 | 1 | UNKNOWN | ||||||
| 4960041 | 1007119024 | C | BACLOFEN | 2 | UNKNOWN | ||||||
| 4960041 | 1007119025 | C | ACETAMINOPHEN AND BUTALBITAL AND CAFFEINE | 2 | UNKNOWN | ||||||
| 4960041 | 1007119026 | C | COMBIVENT | 1 | RESPIRATORY (INHALATION) | ||||||
| 4960041 | 1007119027 | C | LEVAQUIN | 1 | UNKNOWN | ||||||
| 4960041 | 1007119028 | C | ZOCOR | 1 | ORAL | ||||||
| 4960041 | 1007119029 | C | SPIRIVA | 1 | UNKNOWN | ||||||
| 4960041 | 1007119030 | C | TOPAMAX | 1 | UNKNOWN | ||||||
| 4960041 | 1007119031 | C | TOPAMAX | 1 | UNKNOWN | ||||||
| 4960041 | 1007119032 | C | PROTONIX | 1 | UNKNOWN | ||||||
| 4960041 | 1007119033 | C | PROMETHAZINE | 2 | UNKNOWN | ||||||
| 4960041 | 1007119034 | C | PROMETHAZINE | 2 | UNKNOWN | ||||||
| 4960041 | 1007119035 | C | NITROQUICK | 2 | UNKNOWN | ||||||
| 4960041 | 1007119036 | PS | VIOXX | 1 | ORAL | 021042 | |||||
| 4960041 | 1007119037 | SS | VIOXX | 1 | ORAL | 021042 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4960041 | 1007119023 | PULMONARY CONGESTION |
| 4960041 | 1007119025 | MIGRAINE |
| 4960041 | 1007119028 | BLOOD CHOLESTEROL |
| 4960041 | 1007119029 | PULMONARY CONGESTION |
| 4960041 | 1007119030 | CONVULSION |
| 4960041 | 1007119031 | MIGRAINE |
| 4960041 | 1007119032 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4960041 | 1007119033 | NAUSEA |
| 4960041 | 1007119034 | VOMITING |
| 4960041 | 1007119035 | ANGINA PECTORIS |
| 4960041 | 1007119036 | ARTHRITIS |
| 4960041 | 1007119037 | GOUT |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4960041 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4960041 | ACUTE MYOCARDIAL INFARCTION |
| 4960041 | AORTIC ANEURYSM |
| 4960041 | BLOOD CHOLESTEROL INCREASED |
| 4960041 | DEPRESSION |
| 4960041 | HYPERTENSION |
| 4960041 | LUNG NEOPLASM MALIGNANT |
| 4960041 | PROSTATE CANCER |
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 |
|---|---|---|---|---|---|
| 4960041 | 1007119020 | 19950101 | |||
| 4960041 | 1007119028 | 20000601 | |||
| 4960041 | 1007119036 | 19990101 | 20040901 | ||
| 4960041 | 1007119037 | 19990101 | 20040901 |