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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6740661 | 7407726 | I | 6740661-5 | 20090906 | 20100520 | PER | 2009245677 | PFIZER INC | 25 | YR | F | N | 64.9 | KG | 20100405 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6740661 | 1013749124 | PS | DEPO-PROVERA | 1 | D | D | 20246 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6740661 | 1013749124 | CONTRACEPTION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6740661 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6740661 | DRUG INEFFECTIVE |
| 6740661 | UNINTENDED PREGNANCY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6740661 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6740661 | 1013749124 | 20090301 |