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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6740660 | 7407725 | I | 6740660-3 | 20090721 | 20100520 | PER | 2009244470 | PFIZER INC | YR | F | N | 63.5 | KG | 20100405 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6740660 | 1013749121 | PS | DEPO-PROVERA | 1 | INTRAMUSCULAR | 150 MG, EVERY 3 MONTHS, INTRAMUSCULAR | D | D | 20246 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6740660 | 1013749121 | CONTRACEPTION |
Outcome of event
Event ID | OUTC COD |
---|---|
6740660 | OT |
Reactions reported
Event ID | PT |
---|---|
6740660 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
6740660 | CSM |
Therapies reported
no results found |