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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5796774 | 6696901 | I | 5796774-8 | 20080406 | 20080630 | DIR | 29 | YR | F | N | 98 | LBS | 20080629 | CN | Y | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5796774 | 1010117721 | PS | LUPRON | 1 | INTRAMUSCULAR | 3.25 EVERY MONTH IM, 11.25 EVERY 3 MONTHS IM | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5796774 | 1010117721 | PELVIC PAIN |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5796774 | HO |
| 5796774 | LT |
| 5796774 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 5796774 | AMNESIA |
| 5796774 | ANGER |
| 5796774 | ARTHRITIS |
| 5796774 | ASTHENIA |
| 5796774 | BLINDNESS |
| 5796774 | BONE PAIN |
| 5796774 | DYSARTHRIA |
| 5796774 | IMPAIRED DRIVING ABILITY |
| 5796774 | IMPAIRED WORK ABILITY |
| 5796774 | MUSCLE SPASMS |
| 5796774 | NIGHT SWEATS |
| 5796774 | OSTEOPOROSIS |
| 5796774 | STRABISMUS |
| 5796774 | WEIGHT DECREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5796774 | DT |
| 5796774 | UF |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5796774 | 1010117721 | 20071006 | 20080615 |