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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5404426 | 3489965 | F | 2 | 5404426-9 | 20030630 | 20061016 | 20070711 | PER | 238338 | NOVO NORDISK INC. | 59 | YR | F | N | 71.7 | KG | 20070705 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5404426 | 1008768100 | PS | ACTIVELLA | 1 | ORAL | ORAL | N | D | 20907 | ||
| 5404426 | 1008828808 | SS | PREMPRO | 1 | 0.625 MG/2.5 MG | N | D | ||||
| 5404426 | 1008828810 | SS | PREMARIN | 1 | 0.625 MG | N | D | ||||
| 5404426 | 1008828812 | SS | PROVERA | 1 | 2.5 MG | N | D | ||||
| 5404426 | 1008828840 | SS | ESTROGEN NOS (ESTROGEN NOS) INJECTION | 2 | N | D | |||||
| 5404426 | 1008828845 | SS | MPA (MEDROXPROGESTERONE ACETATE) | 2 | U | U | |||||
| 5404426 | 1008828846 | C | LANOXIN | 1 | |||||||
| 5404426 | 1008828847 | C | TENORMIN | 1 | |||||||
| 5404426 | 1008828848 | C | CIMETIDINE | 1 | |||||||
| 5404426 | 1008828849 | C | LOPID | 1 | |||||||
| 5404426 | 1008828850 | C | NEXIUM | 1 | |||||||
| 5404426 | 1008828851 | C | METOCLOPRAMID (METOCLOPRAMIDE) | 2 | |||||||
| 5404426 | 1008828852 | C | DIOVAN | 1 | |||||||
| 5404426 | 1008828853 | C | HYDROCHLOROTHIAZIDE | 1 | |||||||
| 5404426 | 1008828854 | C | SYNTHROD (LEVOTHYROXINE SODIUM) | 2 | |||||||
| 5404426 | 1008828855 | C | NORVASC | 1 | |||||||
| 5404426 | 1008828856 | C | FOSAMAX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5404426 | 1008768100 | MENOPAUSAL SYMPTOMS |
| 5404426 | 1008828808 | MENOPAUSAL SYMPTOMS |
| 5404426 | 1008828810 | MENOPAUSAL SYMPTOMS |
| 5404426 | 1008828812 | MENOPAUSAL SYMPTOMS |
| 5404426 | 1008828840 | MENSTRUAL DISORDER |
| 5404426 | 1008828845 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5404426 | HO |
| 5404426 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5404426 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5404426 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5404426 | 1008768100 | 20010901 | 20011201 | ||
| 5404426 | 1008828808 | 19970416 | 20010822 | ||
| 5404426 | 1008828808 | 20020305 | 20020916 | ||
| 5404426 | 1008828810 | 19910401 | |||
| 5404426 | 1008828810 | 19971001 | |||
| 5404426 | 1008828812 | 19910401 | |||
| 5404426 | 1008828840 | 19920101 |