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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6751120 | 7412627 | I | 6751120-8 | 20100301 | 20100512 | 20100528 | EXP | THQ2010A01360 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 73 | YR | M | N | 20100527 | AUSTRALIA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6751120 | 1013791696 | PS | ACTOS | 1 | ORAL | 15 MG (15 MG, 1 IN 1 D) PER ORAL | D | D | 21073 | ||
| 6751120 | 1013823185 | C | INSULIN | 1 | |||||||
| 6751120 | 1013823186 | C | AMIODARONE HYDROCHLORIDE | 1 | |||||||
| 6751120 | 1013823187 | C | ZYLOPRIM | 1 | |||||||
| 6751120 | 1013823188 | C | LASIX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6751120 | 1013791696 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6751120 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6751120 | COUGH |
| 6751120 | DYSPNOEA |
| 6751120 | FATIGUE |
| 6751120 | PULMONARY OEDEMA |
| 6751120 | VISION BLURRED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6751120 | FGN |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6751120 | 1013791696 | 20100201 |