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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6386370 | 7143449 | I | 6386370-6 | 20090923 | 20090930 | DIR | 68 | YR | F | N | 182 | LBS | 20090929 | MD | N | N | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6386370 | 1012369869 | PS | INDOMETHACIN | 1 | ORAL | 50 MG THREE TIMES A DAY PO | Y | 20100922 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6386370 | 1012369869 | GOUT |
Outcome of event
Event ID | OUTC COD |
---|---|
6386370 | OT |
Reactions reported
Event ID | PT |
---|---|
6386370 | HALLUCINATION, AUDITORY |
6386370 | PANIC REACTION |
6386370 | PSYCHOTIC BEHAVIOUR |
6386370 | UNEVALUABLE EVENT |
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 |
---|---|---|---|---|---|
6386370 | 1012369869 | 20090921 | 20090924 |