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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6836195 | 7495087 | I | 6836195-X | 20000601 | 20090817 | 20100520 | PER | 2009217079 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6836195 | 1014107618 | PS | PROVERA | 1 | ORAL | 10 MG, ORAL | D | D | 11839 | ||
6836195 | 1014211127 | SS | PREMARIN | 1 | 0.625 MG | D | D | ||||
6836195 | 1014211210 | SS | PREMPRO | 1 | D | D |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6836195 | 1014107618 | HORMONE REPLACEMENT THERAPY |
6836195 | 1014211127 | HORMONE REPLACEMENT THERAPY |
6836195 | 1014211210 | HORMONE REPLACEMENT THERAPY |
Outcome of event
Event ID | OUTC COD |
---|---|
6836195 | HO |
6836195 | OT |
Reactions reported
Event ID | PT |
---|---|
6836195 | BREAST CANCER FEMALE |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
6836195 | 1014107618 | 19950101 | 19960501 | ||
6836195 | 1014211127 | 19941201 | 19960501 | ||
6836195 | 1014211210 | 19960501 | 20000601 |