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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6790589 | 7466705 | I | 6790589-X | 20011001 | 20090618 | 20100520 | PER | 2009229341 | PFIZER INC | 56 | YR | F | N | 64 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6790589 | 1013937646 | PS | PROVERA | 1 | ORAL | ORAL | D | D | 11839 | ||
| 6790589 | 1014096313 | SS | PREMARIN | 1 | D | D | |||||
| 6790589 | 1014096317 | SS | ESTRATEST (ESTROGENS ESTERIFIED, METHYLTESTOSTERONE) UNKNOWN | 2 | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6790589 | 1013937646 | HORMONE REPLACEMENT THERAPY |
| 6790589 | 1014096313 | HORMONE REPLACEMENT THERAPY |
| 6790589 | 1014096317 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6790589 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6790589 | BREAST CANCER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |