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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4913151 | 6089307 | I | 4913151-X | 20041229 | 20060113 | PER | HQWYE375404JAN05 | WYETH PHARMACEUTICALS INC. | F | N | 20051223 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4913151 | 1006940462 | PS | PREMPRO | 1 | D | D | 20527 |
Indications of drugs used
no results found |
Outcome of event
Event ID | OUTC COD |
---|---|
4913151 | OT |
Reactions reported
Event ID | PT |
---|---|
4913151 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4913151 | CSM |
Therapies reported
no results found |