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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6704202 | 7378543 | I | 6704202-0 | 20091001 | 20100421 | 20100428 | EXP | TPA2010A00310 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 63 | YR | F | N | 202 | LBS | 20100427 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6704202 | 1013602311 | PS | ACTOS | 1 | ORAL | 15 MG, 1 IN 1 D, PER ORAL | U | D | 21073 | ||
| 6704202 | 1013634281 | C | NEURONTIN | 1 | |||||||
| 6704202 | 1013634300 | C | EFFEXOR | 1 | |||||||
| 6704202 | 1013634316 | C | REMERON | 1 | |||||||
| 6704202 | 1013634337 | C | DEPAKOTE | 1 | |||||||
| 6704202 | 1013634347 | C | GLIPIZIDE | 1 | |||||||
| 6704202 | 1013634359 | C | SMVASTATIN (SIMVASTATIN) | 2 | |||||||
| 6704202 | 1013634379 | C | PAROXETINE HCL (PAROXETINE HYDROCHLORIDE) | 2 | |||||||
| 6704202 | 1013634399 | C | METOPROLOL TARTRATE | 1 | |||||||
| 6704202 | 1013634409 | C | LISINOPRIL | 1 | |||||||
| 6704202 | 1013634410 | C | FIORICET | 1 | |||||||
| 6704202 | 1013634411 | C | TRAZODONE HCL | 1 | |||||||
| 6704202 | 1013634412 | C | ASPIRIN | 1 | |||||||
| 6704202 | 1013634413 | C | NEXIUM | 1 | |||||||
| 6704202 | 1013634414 | C | SEROQUEL | 1 | |||||||
| 6704202 | 1013634415 | C | XANAX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6704202 | 1013602311 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6704202 | HO |
| 6704202 | LT |
| 6704202 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 6704202 | AMNESIA |
| 6704202 | AURA |
| 6704202 | BIPOLAR DISORDER |
| 6704202 | BURNING SENSATION |
| 6704202 | CARDIAC FAILURE CONGESTIVE |
| 6704202 | CHEST PAIN |
| 6704202 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
| 6704202 | CONFUSIONAL STATE |
| 6704202 | DIABETES MELLITUS |
| 6704202 | DYSPNOEA |
| 6704202 | ESSENTIAL HYPERTENSION |
| 6704202 | JOINT SWELLING |
| 6704202 | LIFE SUPPORT |
| 6704202 | LOSS OF CONSCIOUSNESS |
| 6704202 | MIGRAINE |
| 6704202 | OEDEMA |
| 6704202 | RENAL FAILURE |
| 6704202 | SLEEP DISORDER |
| 6704202 | WEIGHT INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6704202 | CSM |
| 6704202 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6704202 | 1013602311 | 20091201 |