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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5005209 | 6055728 | I | 5005209-4 | 20050517 | 20060509 | 20060512 | EXP | HQWYE817920MAY05 | WYETH PHARMACEUTICALS INC. | 75 | YR | F | N | 49.49 | KG | 20060511 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5005209 | 1007299201 | SS | TEMSIROLIMUS (TEMSIROLIMUS) | 2 | ORAL | 30 MG ONCE DAILY; DAYS 1 -5 (14 DAY CYCLE), ORAL | D | D | 2004P0919 | ||
| 5005209 | 1007324483 | PS | LETROZOLE | 2 | ORAL | 2.5 MG 1X PER 1 DAY, ORAL | D | D | |||
| 5005209 | 1007324484 | C | SYNTHROID | 1 | |||||||
| 5005209 | 1007324485 | C | ZOCOR | 1 | |||||||
| 5005209 | 1007324486 | C | LISINOPRIL | 1 | |||||||
| 5005209 | 1007324487 | C | METOPROLOL SUCCINATE | 1 | |||||||
| 5005209 | 1007324488 | C | PRANDIN | 1 | |||||||
| 5005209 | 1007324489 | C | NORVASC | 1 | |||||||
| 5005209 | 1007324490 | C | ASPIRIN | 1 | |||||||
| 5005209 | 1007324491 | C | ACETAMINOPHEN | 1 | |||||||
| 5005209 | 1007324492 | C | COLACE (DOCUSATE SODIUM) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5005209 | 1007299201 | BREAST CANCER METASTATIC |
| 5005209 | 1007324483 | BREAST CANCER METASTATIC |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5005209 | HO |
| 5005209 | LT |
| 5005209 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5005209 | ANGIONEUROTIC OEDEMA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5005209 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5005209 | 1007299201 | 20050328 | 20050514 | ||
| 5005209 | 1007324483 | 20050328 | 20050514 |