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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4923088 | 5736973 | F | 1 | 4923088-8 | 20000530 | 20051024 | 20060113 | PER | HQWYE092526OCT04 | WYETH PHARMACEUTICALS INC. | 58 | YR | F | N | 54.48 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4923088 | 1006978123 | PS | PREMPRO | 1 | D | D | 20527 | ||||
| 4923088 | 1007081142 | SS | ESTRATEST | 1 | D | D | |||||
| 4923088 | 1007081143 | SS | MEDROXYPROGESTERONE | 1 | D | D | |||||
| 4923088 | 1007081144 | SS | PREMARIN | 1 | D | D | |||||
| 4923088 | 1007081145 | SS | PROVERA | 1 | D | D | |||||
| 4923088 | 1007081146 | SS | VIVELLE | 1 | D | D | |||||
| 4923088 | 1007081147 | C | SYNTHROID | 1 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4923088 | HO |
| 4923088 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4923088 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4923088 | CSM |
Therapies reported
| no results found |