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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4876895 | 6106948 | I | 4876895-4 | 20051207 | 20060109 | DIR | 63 | YR | F | N | 94.2 | KG | 20060106 | OT | 20051213 | N | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4876895 | 1006805534 | PS | ANGIOMAX | 1 | INTRAVENOUS BOLUS | 0.75 MG/KG IV -14 MG- IV BOLUS | D | D | |||
| 4876895 | 1006813156 | SS | ANGIOMAX | 1 | INTRAVENOUS DRIP | 1.75 MG/KG /HR-33 MG- IV DRIP | D | D | |||
| 4876895 | 1006854006 | SS | TAXUS EXPRESS2 MONORAIL 2.75 X 20MM / 3.0 X 8MM X2 STENT | 2 | -2.75-7820507 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4876895 | 1006805534 | ANGIOPLASTY |
| 4876895 | 1006813156 | ANGIOPLASTY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4876895 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4876895 | POST PROCEDURAL COMPLICATION |
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 |
|---|---|---|---|---|---|
| 4876895 | 1006805534 | 20051206 | 20051206 | ||
| 4876895 | 1006813156 | 20051206 | 20051206 | ||
| 4876895 | 1006854006 | 20051206 |