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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836197 | 7495101 | I | 6836197-3 | 20060914 | 20090818 | 20100520 | PER | 2009217123 | PFIZER INC | 51 | YR | F | N | 75 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836197 | 1014107620 | PS | PROVERA | 1 | ORAL | 5 MG, ORAL | D | D | 11839 | ||
| 6836197 | 1014211228 | SS | PREMARIN | 1 | 0.625MG/1.25MG | D | D | ||||
| 6836197 | 1014211254 | SS | ESTRATEST | 1 | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6836197 | 1014107620 | HORMONE REPLACEMENT THERAPY |
| 6836197 | 1014211228 | HORMONE REPLACEMENT THERAPY |
| 6836197 | 1014211254 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6836197 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6836197 | 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 |
|---|---|---|---|---|---|
| 6836197 | 1014107620 | 19880101 | 20020901 | ||
| 6836197 | 1014211228 | 19880101 | 20020901 | ||
| 6836197 | 1014211254 | 20020901 | 20051101 |