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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6751389 | 7409277 | F | 1 | 6751389-X | 20100512 | 20100521 | 20100528 | EXP | TCI2010A01836 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 63 | YR | F | N | 20100527 | MD | JAPAN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6751389 | 1013792654 | PS | ACTOS | 1 | ORAL | 15 MG (15 MG,1 IN 1 D) PER ORAL | Y | D | 21073 | ||
| 6751389 | 1013817773 | C | GLYCLAMIN (SODIUM GUALENATE) | 2 | |||||||
| 6751389 | 1013817775 | C | URSO 250 | 1 | |||||||
| 6751389 | 1013817781 | C | OMEPRAZOLE | 1 | |||||||
| 6751389 | 1013817783 | C | PEGASYS | 1 | |||||||
| 6751389 | 1013817785 | C | HISHIPHAGEN-C (MONOAMMONIUM GLYCYRRHIZINATE) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6751389 | 1013792654 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6751389 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 6751389 | DECREASED APPETITE |
| 6751389 | NAUSEA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6751389 | FGN |
| 6751389 | HP |
| 6751389 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6751389 | 1013792654 | 20100512 | 20100512 | 1 | DAY |