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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6779553 | 7454590 | F | 1 | 6779553-4 | 20020101 | 20080707 | 20100520 | PER | 2008058499 | PFIZER INC | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6779553 | 1013895647 | PS | PROVERA | 1 | ORAL | ORAL | D | D | 11839 | ||
6779553 | 1014040641 | SS | PREMARIN | 1 | D | D |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6779553 | 1013895647 | HORMONE REPLACEMENT THERAPY |
6779553 | 1014040641 | HORMONE REPLACEMENT THERAPY |
Outcome of event
Event ID | OUTC COD |
---|---|
6779553 | OT |
Reactions reported
Event ID | PT |
---|---|
6779553 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
6779553 | CSM |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
6779553 | 1013895647 | 20010101 | 20020101 | ||
6779553 | 1014040641 | 20010101 | 20020101 |