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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5122487 | 6314735 | I | 5122487-1 | 20030101 | 20060925 | 20061004 | EXP | 06-040 | MIKART, INC. | 66 | YR | M | N | 20060926 | 20050301 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5122487 | 1007739125 | PS | LORTAB | 1 | ORAL | 9/26-27/2003: 5 TABS/DAY; AFTER, PRN, PO | D | D | 89699 | ||
| 5122487 | 1007759039 | SS | PERCOCET | 1 | ORAL | 1-2 TABS, Q4H, PO | N | D | |||
| 5122487 | 1007759042 | SS | ZOCOR | 1 | ORAL | PO | D | D | |||
| 5122487 | 1007759043 | SS | PRAVACHOL | 1 | ORAL | 20 MG, QHS, PO | D | D | |||
| 5122487 | 1007759044 | C | ATENOLOL | 1 | |||||||
| 5122487 | 1007759045 | C | ENALAPRIL MALEATE | 1 | |||||||
| 5122487 | 1007759046 | C | KCI | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5122487 | 1007739125 | MUSCULOSKELETAL CHEST PAIN |
| 5122487 | 1007759039 | MUSCULOSKELETAL CHEST PAIN |
| 5122487 | 1007759042 | HYPERCHOLESTEROLAEMIA |
| 5122487 | 1007759043 | HYPERCHOLESTEROLAEMIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5122487 | DE |
| 5122487 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5122487 | ABDOMINAL DISTENSION |
| 5122487 | ALCOHOL USE |
| 5122487 | HEPATIC FAILURE |
| 5122487 | HEPATITIS C POSITIVE |
| 5122487 | VOMITING |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5122487 | CSM |
| 5122487 | DT |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5122487 | 1007739125 | 20030926 | |||
| 5122487 | 1007759039 | 20030921 | 20030925 | ||
| 5122487 | 1007759042 | 20031110 | |||
| 5122487 | 1007759043 | 20031110 |