Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115753615 | 11575361 | 5 | F | 20101026 | 20160901 | 20150930 | 20160908 | EXP | US-ENDO PHARMACEUTICALS INC.-2015-003079 | ENDO | 61.05 | YR | M | Y | 86.26000 | KG | 20160908 | LW | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115753615 | 11575361 | 1 | PS | TESTOPEL | TESTOSTERONE | 1 | Subcutaneous | 80911 | IMPLANT | ||||||||||
| 115753615 | 11575361 | 2 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | Unknown | 0 | INJECTION | Q3W |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115753615 | 11575361 | 1 | Androgen replacement therapy |
| 115753615 | 11575361 | 2 | Androgen replacement therapy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115753615 | 11575361 | HO |
| 115753615 | 11575361 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115753615 | 11575361 | Acute myocardial infarction | |
| 115753615 | 11575361 | Coronary artery disease | |
| 115753615 | 11575361 | Deep vein thrombosis |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 115753615 | 11575361 | 1 | 201006 | 201306 | 0 | |
| 115753615 | 11575361 | 2 | 200906 | 201006 | 0 |