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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7023583 | 7621282 | I | 7023583-4 | 20100921 | 20100930 | DIR | 68 | YR | F | N | N | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 7023583 | 1014815171 | PS | MULTIHANCE | 1 | INTRAVENOUS | 19 ML (ONE TIME ONLY) | D | D | OC64099 | 20130301 | |
| 7023583 | 1014858483 | C | LISINOPRIL | 1 | |||||||
| 7023583 | 1014858484 | C | SYNTHROID | 1 | |||||||
| 7023583 | 1014858485 | C | PREVACID | 1 | |||||||
| 7023583 | 1014858486 | C | LASIX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 7023583 | 1014815171 | NUCLEAR MAGNETIC RESONANCE IMAGING |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 7023583 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 7023583 | PRURITUS |
| 7023583 | URTICARIA |
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 |
|---|---|---|---|---|---|
| 7023583 | 1014815171 | 20100921 | 1 | MIN |