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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5472368 | 6361941 | F | 5472368-9 | 20070628 | 20070921 | 20070930 | EXP | FR-SHR-FR-2007-026157 | BERLEX | 76 | YR | F | Y | 70 | KG | 20070928 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5472368 | 1008989690 | PS | ULTRAVIST 300 | 1 | INTRAVENOUS | 130 ML, 1 DOSE | 64517E | 020220 | |||
| 5472368 | 1008989691 | C | AMARYL | 1 | ORAL | 4 MG, 1X/DAY | |||||
| 5472368 | 1008989692 | C | PHYSIOTENS ^GIULINI^ | 2 | ORAL | .4 UNK, 1X/DAY | |||||
| 5472368 | 1008989693 | C | GLUCOPHAGE | 1 | ORAL | 2000 MG, 1X/DAY | |||||
| 5472368 | 1008989694 | C | ACTOS | 1 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989695 | C | SKENAN | 2 | ORAL | 2 CAP(S), 1X/DAY | |||||
| 5472368 | 1008989696 | C | VERAPAMIL | 1 | ORAL | 240 MG, 2X/DAY | |||||
| 5472368 | 1008989697 | C | KARDEGIC /FRA/ | 2 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989698 | C | LISINOPRIL | 1 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989699 | C | TRANXENE | 1 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989700 | C | OMEPRAZOLE | 1 | ORAL | 1 TAB(S), 1X/6 WEEKS | |||||
| 5472368 | 1008989701 | C | FOSAMAX | 1 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989702 | C | ESCITALOPRAM OXALATE | 1 | ORAL | 1 TAB(S), 1X/DAY | |||||
| 5472368 | 1008989703 | C | FUMAFER | 2 | ORAL | 2 TAB(S), 1X/DAY |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5472368 | 1008989691 | TYPE 2 DIABETES MELLITUS |
| 5472368 | 1008989693 | TYPE 2 DIABETES MELLITUS |
| 5472368 | 1008989694 | TYPE 2 DIABETES MELLITUS |
| 5472368 | 1008989695 | PAIN |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5472368 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5472368 | ACUTE PULMONARY OEDEMA |
| 5472368 | CYANOSIS |
| 5472368 | DYSPNOEA |
| 5472368 | MALAISE |
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 |
|---|---|---|---|---|---|
| 5472368 | 1008989690 | 20070628 | 20070628 |