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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4974813 | 6044265 | I | 4974813-1 | 20040607 | 20050118 | 20060216 | PER | 2004IM000696 | INTERMUNE | 56 | YR | F | N | 20060214 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4974813 | 1007177158 | PS | ACTIMMUNE | 1 | SUBCUTANEOUS | 200 UG, TIW, SUBCUTANEOUS | D | D | |||
| 4974813 | 1007278583 | C | FOSAMAX | 1 | |||||||
| 4974813 | 1007278584 | C | PREDNISONE TAB | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4974813 | 1007177158 | IDIOPATHIC PULMONARY FIBROSIS |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4974813 | INFLUENZA LIKE ILLNESS |
| 4974813 | RASH |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4974813 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4974813 | 1007177158 | 20040607 |