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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6818803 | 7469534 | I | 6818803-2 | 20100330 | 20100617 | 20100630 | EXP | IDA-00376 | AKRIMAX PHARMACEUTICALS, LLC | 86 | YR | F | N | 20100625 | ITALY |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6818803 | 1014042632 | PS | INDERAL | 1 | ORAL | 30 MG DAILY, ORAL | Y | D | 16418 | ||
| 6818803 | 1014106870 | SS | CORDARONE | 1 | ORAL | 200 MG DAILY, ORAL | |||||
| 6818803 | 1014106970 | C | PRAVASTATIN SODIUM | 1 | |||||||
| 6818803 | 1014107033 | C | ADALAT CC | 1 | |||||||
| 6818803 | 1014107034 | C | PRISNA (MESOGLYCAN) | 2 | |||||||
| 6818803 | 1014107035 | C | ASPIRIN | 1 | |||||||
| 6818803 | 1014107036 | C | CALCIUM CARBONATE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6818803 | 1014042632 | EXTRASYSTOLES |
| 6818803 | 1014106870 | EXTRASYSTOLES |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6818803 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 6818803 | BRADYCARDIA |
| 6818803 | NODAL RHYTHM |
| 6818803 | SUPRAVENTRICULAR EXTRASYSTOLES |
| 6818803 | VENTRICULAR EXTRASYSTOLES |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6818803 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6818803 | 1014042632 | 20100101 | 20100330 | 89 | DAY |
| 6818803 | 1014106870 | 20100101 | 20100330 | 89 | YR |