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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5479788 | 6653126 | F | 1 | 5479788-7 | 20070706 | 20070911 | 20071003 | EXP | 6304 / E2B_00010045 | GENPHARM INC | 41 | YR | F | N | 20070928 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5479788 | 1009017769 | PS | METFORMIN HCL | 1 | D | D | 75923 | ||||
| 5479788 | 1009041063 | SS | BLINDED STUDY MEDICATION | 2 | |||||||
| 5479788 | 1009041086 | C | ATACAND | 1 | |||||||
| 5479788 | 1009041095 | C | PHENERGAN HCL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5479788 | 1009017769 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5479788 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5479788 | ANAEMIA |
| 5479788 | PELVIC MASS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5479788 | HP |
| 5479788 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5479788 | 1009017769 | 20040101 | 20070127 | ||
| 5479788 | 1009017769 | 20051129 | 424 | DAY | |
| 5479788 | 1009017769 | 20070131 | |||
| 5479788 | 1009041063 | 20051129 | 20070127 | ||
| 5479788 | 1009041063 | 20040101 | 3 | YR | |
| 5479788 | 1009041063 | 20070131 |