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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6693104 | 7369914 | I | 6693104-4 | 20090201 | 20100413 | 20100420 | EXP | TPA2010A02042 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 62 | YR | F | N | 182 | LBS | 20100419 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6693104 | 1013552571 | PS | ACTOS | 1 | ORAL | 30 MG, 1 IN 1 D, PER ORAL; 15 MG, 1 IN 1 D, PER ORAL | D | D | 21073 | ||
| 6693104 | 1013589578 | C | VERAPAMIL | 1 | |||||||
| 6693104 | 1013589579 | C | SYMBICORT | 1 | |||||||
| 6693104 | 1013589580 | C | ALBUTEROL | 1 | |||||||
| 6693104 | 1013589582 | C | PRAVACHOL | 1 | |||||||
| 6693104 | 1013589583 | C | METFORMIN HCL | 1 | |||||||
| 6693104 | 1013589584 | C | NOVALOG (INSULIN ASPART) | 2 | |||||||
| 6693104 | 1013589586 | C | LANTUS | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6693104 | 1013552571 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6693104 | HO |
| 6693104 | OT |
| 6693104 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 6693104 | ARRHYTHMIA |
| 6693104 | CEREBROVASCULAR ACCIDENT |
| 6693104 | DEHYDRATION |
| 6693104 | DIABETIC KETOACIDOSIS |
| 6693104 | FALL |
| 6693104 | LETHARGY |
| 6693104 | PANCREATITIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6693104 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6693104 | 1013552571 | 20060101 | 20090101 | ||
| 6693104 | 1013552571 | 20090101 |