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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4975380 | 6032145 | I | 4975380-9 | 20060217 | 20060329 | 20060411 | EXP | RS005896-F | EISAI INC. | 69 | YR | M | N | 60 | KG | 20060405 | OT | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4975380 | 1007179804 | PS | RABEPRAZOLE SODIUM | 1 | ORAL | ORAL | D | D | 20973 | ||
| 4975380 | 1007210316 | SS | DEPAKENE | 1 | ORAL | ORAL | D | D | |||
| 4975380 | 1007210317 | SS | AMITRIPTYLINE HCL | 1 | ORAL | ORAL | D | D | |||
| 4975380 | 1007210318 | SS | PREVISCAN (FLUINDIONE) | 2 | ORAL | ORAL | D | D | |||
| 4975380 | 1007210319 | SS | CORDARONE | 1 | ORAL | ORAL | D | D | |||
| 4975380 | 1007210320 | SS | IDARAC | 1 | ORAL | ORAL | D | D | |||
| 4975380 | 1007210321 | C | ACETAMINOPHEN | 1 | |||||||
| 4975380 | 1007210322 | C | CLONAZEPAM | 1 | |||||||
| 4975380 | 1007210323 | C | ZOLPIDEM TARTRATE | 1 | |||||||
| 4975380 | 1007210324 | C | NITRIDERM (GLYCERYL TRINITRATE) | 2 | |||||||
| 4975380 | 1007210326 | C | LANTUS | 1 | |||||||
| 4975380 | 1007210328 | C | ATARAX | 1 | |||||||
| 4975380 | 1007210329 | C | SMECTA (SMECTITE) | 2 | |||||||
| 4975380 | 1007210330 | C | ZAMADOL (TRAMADOL) | 2 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4975380 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4975380 | HEPATITIS FULMINANT |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4975380 | FGN |
| 4975380 | HP |
Therapies reported
| no results found |