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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8610979 | 8747131 | I | 8610979-X | 20110606 | 20120420 | PER | WAES 1106USA00698 | MERCK + CO., INC. | 53 | YR | F | N | 20120419 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8610979 | 1020622752 | PS | SINGULAIR | 1 | ORAL | 5 MG/DAILY/PO | U | D | 20830 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 8610979 | 1020622752 | HYPERSENSITIVITY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 8610979 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 8610979 | CONVULSION |
| 8610979 | TREMOR |
| 8610979 | ABNORMAL BEHAVIOUR |
| 8610979 | HALLUCINATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 8610979 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 8610979 | 1020622752 | 20100101 |