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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6761375 | 7419468 | I | 6761375-1 | 20100215 | 20100525 | 20100607 | EXP | LTI2010A00109 | TAKEDA PHARMACEUTICALS NORTH AMERICA | 52 | YR | M | N | 20100604 | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6761375 | 1013829825 | PS | ACTOS | 1 | ORAL | 30 MG (30 MG, 1 IN 1 D) ORAL | Y | D | 21073 | ||
| 6761375 | 1013864201 | C | STAGID (METFORMIN EMBONATE) | 2 | |||||||
| 6761375 | 1013864202 | C | SOTALOL HCL | 1 | |||||||
| 6761375 | 1013864203 | C | PRAVASTATIN | 1 | |||||||
| 6761375 | 1013864205 | C | JANUVIA (SITAGLIPTINE) (ORAL ANTIDIABETICS) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6761375 | 1013829825 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6761375 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 6761375 | ECZEMA |
| 6761375 | RASH PAPULAR |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6761375 | FGN |
| 6761375 | HP |
| 6761375 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6761375 | 1013829825 | 20091229 | 20100328 | 89 | DAY |