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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6751576 | 7409277 | I | 6751576-0 | 20100513 | 20100514 | 20100526 | EXP | TCI2010A01836 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 60 | YR | F | N | 20100525 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6751576 | 1013793533 | PS | ACTOS | 1 | ORAL | 15 MG (15 MG, 1 IN 1 D), PER ORAL | U | D | 21073 | ||
6751576 | 1013806577 | C | INTERFERON | 1 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6751576 | 1013793533 | DIABETES MELLITUS |
Outcome of event
Event ID | OUTC COD |
---|---|
6751576 | HO |
Reactions reported
Event ID | PT |
---|---|
6751576 | DECREASED APPETITE |
6751576 | DEHYDRATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
6751576 | FGN |
6751576 | HP |
6751576 | OTH |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
6751576 | 1013793533 | 20100510 | 20100513 | 3 | DAY |