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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5040801 | 6080136 | I | 5040801-2 | 20060626 | 20060630 | DIR | 64 | YR | M | N | 104.3 | KG | 20060629 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5040801 | 1007433102 | PS | INDOMETHACIN | 1 | ORAL | 50MG TID PO | Y |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5040801 | 1007433102 | GOUT |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5040801 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5040801 | ABDOMINAL PAIN UPPER |
| 5040801 | BACTERIAL INFECTION |
| 5040801 | FAECES DISCOLOURED |
| 5040801 | GASTRIC ULCER |
| 5040801 | GASTROINTESTINAL HAEMORRHAGE |
| 5040801 | GASTROINTESTINAL INFECTION |
| 5040801 | HAEMATOCHEZIA |
| 5040801 | LEUKOCYTOSIS |
| 5040801 | ULCER |
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 |
|---|---|---|---|---|---|
| 5040801 | 1007433102 | 20060619 |