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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4944659 | 5729269 | F | 1 | 4944659-9 | 20020529 | 20050105 | 20060113 | PER | HQWYE295121JUL04 | WYETH PHARMACEUTICALS INC. | 55 | YR | F | N | 68.1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4944659 | 1007055200 | PS | PREMPRO (CONJUGATED ACETATE, TABLET, 5 MG) | 2 | 0.625 MG/2.5MG DAILY, | D | D | 20527 | |||
| 4944659 | 1007078108 | C | ALPHAGAN | 1 | |||||||
| 4944659 | 1007078139 | C | XALATAN | 1 | |||||||
| 4944659 | 1007078186 | C | CELEBREX | 1 | |||||||
| 4944659 | 1007078220 | C | BETOPTIC (BETAXOLOL) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4944659 | 1007055200 | MENOPAUSE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4944659 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4944659 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4944659 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4944659 | 1007055200 | 19960101 |