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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6763467 | 7420549 | I | 6763467-X | 20100201 | 20100602 | 20100608 | EXP | TPA2010A03370 | TAKEDA PHARMACEUTICALS NORTH AMERICA. | 69 | YR | F | N | 240 | LBS | 20100607 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6763467 | 1013838628 | PS | ACTOS | 1 | ORAL | 45 MG, 1 IN 1 D, PER ORAL | N | D | 21073 | ||
| 6763467 | 1013871559 | C | UNKNOWN THYROID MEDICATION (ALL OTHER THERAPEUTIC PRODUCTS) | 2 | |||||||
| 6763467 | 1013871560 | C | OTHER MEDICATIONS (ALL OTHER THERAPEUTIC PRODUCTS) | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6763467 | 1013838628 | TYPE 2 DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6763467 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 6763467 | CARDIAC FAILURE CONGESTIVE |
| 6763467 | RENAL FAILURE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6763467 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6763467 | 1013838628 | 20100201 |