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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836201 | 7495122 | I | 6836201-2 | 20050801 | 20090521 | 20100520 | PER | 2009217138 | PFIZER INC | 67 | YR | F | N | 54 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836201 | 1014107631 | PS | PROVERA | 1 | ORAL | ORAL | D | D | 11839 | ||
| 6836201 | 1014211336 | SS | PREMARIN | 1 | D | D | |||||
| 6836201 | 1014211337 | C | PROPRANOLOL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6836201 | 1014107631 | HORMONE REPLACEMENT THERAPY |
| 6836201 | 1014211336 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6836201 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6836201 | 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 |
|---|---|---|---|---|---|
| 6836201 | 1014107631 | 19850101 | 20000601 | ||
| 6836201 | 1014211336 | 19850101 | 20000601 |