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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4967094 | 6027411 | I | 4967094-6 | 20060314 | 20060321 | 20060403 | EXP | 2006039135 | USCS | 58 | YR | F | N | 137 | LBS | 20060331 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4967094 | 1007146275 | PS | SUTENT | 1 | ORAL | 37.5 MG (37.5 MG, 1 IN 1 D), ORAL | U | D | 21938 | ||
| 4967094 | 1007180993 | C | VITAMIN CAP | 1 | |||||||
| 4967094 | 1007180996 | C | VICODIN | 1 | |||||||
| 4967094 | 1007180998 | C | MONTELUKAST SODIUM | 2 | |||||||
| 4967094 | 1007180999 | C | LEXAPRO | 1 | |||||||
| 4967094 | 1007181001 | C | ADVAIR DISKUS 100/50 | 1 | |||||||
| 4967094 | 1007181003 | C | SPIRIVA | 1 | |||||||
| 4967094 | 1007181005 | C | ALBUTEROL | 1 | |||||||
| 4967094 | 1007181007 | C | PROTONIX | 1 | |||||||
| 4967094 | 1007181008 | C | LEVAQUIN | 1 | |||||||
| 4967094 | 1007181010 | C | ASCORBIC ACID | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4967094 | 1007146275 | BREAST CANCER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4967094 | DS |
| 4967094 | HO |
| 4967094 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4967094 | ASTHMA |
| 4967094 | BRONCHITIS |
| 4967094 | CONDITION AGGRAVATED |
| 4967094 | COUGH |
| 4967094 | DIZZINESS |
| 4967094 | DRUG EFFECT DECREASED |
| 4967094 | FLATULENCE |
| 4967094 | NAUSEA |
| 4967094 | RETCHING |
| 4967094 | VOMITING |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4967094 | HP |
| 4967094 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4967094 | 1007146275 | 20060313 |