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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6769714 | 7429906 | F | 1 | 6769714-2 | 20010801 | 20090618 | 20100520 | PER | 2008058945 | PFIZER INC | 61 | YR | F | N | 20100405 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6769714 | 1013866545 | PS | PROVERA | 1 | ORAL | ORAL | D | D | 11839 | ||
| 6769714 | 1013927039 | SS | PREMARIN | 1 | D | D | |||||
| 6769714 | 1013927040 | SS | CYCRIN | 1 | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6769714 | 1013866545 | HORMONE REPLACEMENT THERAPY |
| 6769714 | 1013927039 | HORMONE REPLACEMENT THERAPY |
| 6769714 | 1013927040 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6769714 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6769714 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6769714 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6769714 | 1013866545 | 19970101 | 20010101 | ||
| 6769714 | 1013927039 | 19970101 | 20010101 | ||
| 6769714 | 1013927040 | 19970828 | 20010814 |