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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836205 | 7495249 | I | 6836205-X | 20020925 | 20090521 | 20100520 | PER | 2009217145 | PFIZER INC | 64 | YR | F | N | 79 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6836205 | 1014107643 | PS | PROVERA | 1 | ORAL | 2.5 MG, ORAL | D | D | 11839 | ||
| 6836205 | 1014211841 | SS | MEDROXYPROGESTERONE ACETATE | 1 | ORAL | 2.5 MG, ORAL | D | D | |||
| 6836205 | 1014211846 | SS | MEDROXYPROGESTERONE ACETATE | 1 | 2.5 MG | D | D | ||||
| 6836205 | 1014211847 | SS | ESTRADIOL | 1 | 1 MG | D | D | ||||
| 6836205 | 1014211848 | C | ZESTORETIC | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6836205 | 1014107643 | HORMONE REPLACEMENT THERAPY |
| 6836205 | 1014211841 | HORMONE REPLACEMENT THERAPY |
| 6836205 | 1014211846 | HORMONE REPLACEMENT THERAPY |
| 6836205 | 1014211847 | HORMONE REPLACEMENT THERAPY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6836205 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6836205 | BREAST CANCER |
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 |
|---|---|---|---|---|---|
| 6836205 | 1014107643 | 20000101 | 20000101 | ||
| 6836205 | 1014211841 | 19980101 | 20020101 | ||
| 6836205 | 1014211846 | 19980101 | 20020101 | ||
| 6836205 | 1014211847 | 19980101 | 20020101 |