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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5041729 | 5988025 | F | 3 | 5041729-4 | 19981008 | 20060619 | 20060630 | EXP | HQWYE684024NOV04 | WYETH PHARMACEUTICALS INC. | 53 | YR | F | N | 70.37 | KG | 20060629 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5041729 | 1007435628 | PS | PREMPRO | 1 | ORAL | 0.625 MG, ORAL | D | D | 20527 | ||
| 5041729 | 1007457206 | SS | PREMARIN | 1 | ORAL | ORAL | D | D | |||
| 5041729 | 1007457207 | SS | PROVERA | 1 | ORAL | ORAL | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5041729 | 1007435628 | OSTEOPOROSIS |
| 5041729 | 1007435628 | PROPHYLAXIS |
| 5041729 | 1007457206 | MENOPAUSE |
| 5041729 | 1007457207 | MENOPAUSE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5041729 | HO |
| 5041729 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5041729 | BREAST CANCER FEMALE |
| 5041729 | BREAST CANCER IN SITU |
| 5041729 | BREAST MICROCALCIFICATION |
| 5041729 | CONTRALATERAL BREAST CANCER |
| 5041729 | DEPRESSION |
| 5041729 | POST PROCEDURAL PULMONARY EMBOLISM |
| 5041729 | PROGESTERONE RECEPTOR ASSAY POSITIVE |
| 5041729 | SURGICAL PROCEDURE REPEATED |
| 5041729 | VENOUS THROMBOSIS LIMB |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5041729 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5041729 | 1007435628 | 19990701 | 20001101 | ||
| 5041729 | 1007457206 | 19900101 | 19980101 | ||
| 5041729 | 1007457207 | 19900101 | 19980101 |