| Blood Creatinine Increased |
|
2/16/2005 |
69 |
|
218 lb |
1/6/2006 |
Pharmacist |
United States |
|
| Blood Creatinine Increased |
|
2/16/2005 |
69 |
|
218 lb |
1/6/2006 |
Pharmacist |
United States |
|
| Weight Increased |
Other Serious |
2/1/1997 |
82 |
Male |
144 lb |
1/11/2006 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Cardiac Pacemaker Insertion |
Hospitalization |
|
68 |
Female |
|
1/10/2006 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Staphylococcal Infection |
Other Serious |
12/1/2005 |
60 |
Male |
210 lb |
1/27/2006 |
|
United States |
|
| Ventricular Dysfunction |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
2/8/2006 |
|
United Kingdom |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Ventricular Hypokinesia |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
2/9/2006 |
|
United Kingdom |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Nerve Injury |
Other Serious |
1/1/2003 |
44 |
Female |
|
2/8/2006 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Syncope |
Hospitalization |
2/20/2006 |
67 |
Female |
135 lb |
3/10/2006 |
Pharmacist |
United States |
|
| Sepsis |
Life Threatening |
5/23/2006 |
|
Female |
165 lb |
5/25/2006 |
Other Health Professional |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Coronary Artery Occlusion |
Other Serious |
5/23/2006 |
56 |
Female |
|
5/30/2006 |
Other Health Professional |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Condition Aggravated |
|
2/1/2006 |
57 |
Male |
|
4/17/2006 |
Consumer |
United States |
|
| Inadequate Analgesia |
Hospitalization |
5/1/2006 |
75 |
Female |
175 lb |
10/4/2006 |
|
United States |
|
| Rhabdomyolysis |
Hospitalization |
4/1/2004 |
54 |
Male |
317 lb |
11/1/2006 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Suicidal Ideation |
Other Serious |
|
49 |
Male |
|
10/4/2006 |
|
United States |
|
| Surgery |
Hospitalization |
10/1/2006 |
|
Male |
|
2/8/2007 |
Other Health Professional |
Brazil |
|
| Suicidal Ideation |
Hospitalization |
1/1/2001 |
|
Female |
|
3/15/2007 |
Consumer |
United States |
|
| Intraocular Pressure Increased |
Other Serious |
2/3/2007 |
|
Female |
|
5/1/2007 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Ventricular Extrasystoles |
Other Serious |
2/1/2007 |
67 |
Female |
190 lb |
5/5/2007 |
|
United States |
|
| Wound Secretion |
Required Intervention |
1/1/2001 |
71 |
Female |
303 lb |
5/25/2007 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Cardiac Disorder |
Hospitalization |
9/1/2005 |
67 |
Male |
|
6/6/2007 |
Consumer |
United States |
|
| Weight Increased |
Required Intervention |
1/1/2001 |
71 |
Female |
303 lb |
6/29/2007 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Pollakiuria |
Hospitalization |
1/1/2006 |
51 |
Male |
455 lb |
7/6/2007 |
Consumer |
United States |
|
| Intraocular Pressure Increased |
Other Serious |
2/3/2007 |
|
Female |
|
8/10/2007 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Death |
Hospitalization |
9/25/2005 |
|
Female |
144 lb |
10/3/2007 |
|
United States |
|
| Sepsis |
Hospitalization |
1/1/2005 |
78 |
Female |
115 lb |
11/7/2007 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Thalamic Infarction |
Other Serious |
12/27/2005 |
78 |
Female |
115 lb |
11/9/2007 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Rheumatoid Arthritis |
Other Serious |
1/1/1992 |
|
Female |
|
11/29/2007 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Hyperglycaemia |
Other Serious |
10/1/2007 |
|
Female |
260 lb |
1/2/2008 |
Consumer |
United States |
|
| Weight Decreased |
Other Serious |
1/1/1999 |
|
Female |
143 lb |
1/18/2008 |
Physician |
United States |
|
| Rheumatoid Arthritis |
Other Serious |
1/1/1992 |
|
Female |
|
2/12/2008 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Malaise |
|
3/4/2008 |
32 |
Male |
143 lb |
3/21/2008 |
Other Health Professional |
United States |
|
| Myocardial Infarction |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
4/9/2008 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Malaise |
|
3/4/2008 |
32 |
Male |
143 lb |
4/10/2008 |
Other Health Professional |
United States |
|
| Myocardial Infarction |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
4/18/2008 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Myocardial Infarction |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
4/24/2008 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Rash Pruritic |
Hospitalization |
11/1/2007 |
58 |
Female |
224 lb |
6/18/2008 |
Physician |
United States |
|
| Pain In Extremity |
Required Intervention |
6/1/2008 |
83 |
Female |
92 lb |
6/26/2008 |
Pharmacist |
United States |
|
| Ventricular Hypokinesia |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
7/2/2008 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Injection Site Pain |
|
|
55 |
Male |
300 lb |
8/18/2008 |
Other Health Professional |
United States |
|
| Myocardial Infarction |
Life Threatening |
8/30/2005 |
|
Male |
139 lb |
9/5/2008 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Sepsis |
Hospitalization |
4/1/2008 |
63 |
Male |
|
9/26/2008 |
Physician |
Canada |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Upper Respiratory Tract Infection |
Other Serious |
1/1/2007 |
|
Female |
|
12/22/2008 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Sinus Disorder |
Life Threatening |
2/1/2008 |
|
Female |
|
1/20/2009 |
Consumer |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Sinus Disorder |
Life Threatening |
2/1/2008 |
|
Female |
|
3/6/2009 |
Consumer |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Sinus Disorder |
Life Threatening |
2/1/2008 |
|
Female |
|
3/30/2009 |
Physician |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Tardive Dyskinesia |
Other Serious |
8/10/2000 |
57 |
Male |
344 lb |
4/3/2009 |
Other Health Professional |
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
3/5/2001 |
48 |
Female |
154 lb |
4/14/2009 |
|
United States |
|
| Vocal Cord Paralysis |
Other Serious |
1/1/1995 |
48 |
Male |
141 lb |
4/17/2009 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Electrocardiogram Qt Prolonged |
Other Serious |
|
|
Male |
|
4/30/2009 |
Physician |
United States |
|
| Thermal Burn |
Other Serious |
9/24/1999 |
41 |
Male |
319 lb |
5/15/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Hospitalization |
3/18/2002 |
38 |
Male |
265 lb |
5/19/2009 |
|
United States |
|
| Visual Acuity Reduced |
Other Serious |
1/1/2000 |
|
Female |
|
5/13/2009 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 2 Diabetes Mellitus |
Other Serious |
4/16/2008 |
59 |
Female |
232 lb |
6/5/2009 |
|
United States |
|
| Electrocardiogram Qt Prolonged |
Other Serious |
3/26/2009 |
|
Male |
|
6/10/2009 |
Other Health Professional |
United States |
|
| Sinus Disorder |
Life Threatening |
2/1/2008 |
|
Female |
|
6/12/2009 |
Physician |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 1 Diabetes Mellitus |
Other Serious |
|
|
Female |
253 lb |
6/16/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
12/9/2005 |
51 |
Male |
203 lb |
6/19/2009 |
|
United States |
|
| Neuropathy Peripheral |
Other Serious |
1/1/2003 |
53 |
Female |
|
6/25/2009 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Thrombocytopenia |
Other Serious |
10/19/2007 |
|
Male |
216 lb |
6/30/2009 |
Consumer |
United States |
|
| Osteolysis |
Other Serious |
10/28/2003 |
42 |
Female |
180 lb |
7/6/2009 |
|
United States |
|
| Gestational Diabetes |
Other Serious |
10/1/2003 |
35 |
Female |
211 lb |
7/10/2009 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/1999 |
39 |
Male |
202 lb |
7/10/2009 |
|
United States |
|
| Wound |
Other Serious |
5/22/2009 |
|
Female |
|
7/14/2009 |
Physician |
United States |
|
| Diabetic Neuropathy |
Other Serious |
8/25/2004 |
40 |
Male |
286 lb |
7/15/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
3/12/2003 |
51 |
Male |
158 lb |
7/21/2009 |
|
United States |
|
| Pneumonia |
Other Serious |
11/1/2004 |
|
Female |
|
7/17/2009 |
Consumer |
United States |
|
| Death |
Death |
|
|
Female |
302 lb |
7/23/2009 |
Other Health Professional |
United States |
|
| Wound |
Other Serious |
5/22/2009 |
|
Female |
149 lb |
7/27/2009 |
Physician |
United States |
|
| Visual Acuity Reduced |
Other Serious |
1/1/2000 |
|
Female |
|
7/23/2009 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/2002 |
42 |
Female |
193 lb |
7/29/2009 |
|
United States |
|
| Eye Laser Surgery |
Other Serious |
1/1/2001 |
|
Female |
|
7/24/2009 |
Consumer |
United States |
|
| Sinus Disorder |
Life Threatening |
2/1/2008 |
|
Female |
|
7/29/2009 |
Physician |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 1 Diabetes Mellitus |
Other Serious |
6/27/2001 |
54 |
Male |
194 lb |
7/27/2009 |
|
United States |
|
| Death |
Death |
|
|
Female |
302 lb |
7/30/2009 |
Physician |
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/1997 |
31 |
Female |
246 lb |
8/6/2009 |
|
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
9/22/2003 |
38 |
Male |
136 lb |
8/11/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
10/27/2004 |
52 |
Female |
163 lb |
8/13/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
4/26/2000 |
58 |
Female |
293 lb |
8/14/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
1/1/2001 |
43 |
Female |
|
8/14/2009 |
|
United States |
|
| Diabetic Neuropathy |
Other Serious |
9/10/2003 |
44 |
Female |
|
8/31/2009 |
|
United States |
|
| Death |
Death |
|
62 |
Male |
179 lb |
9/2/2009 |
Other Health Professional |
Czech Republic |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vision Blurred |
Other Serious |
1/1/2002 |
34 |
Male |
200 lb |
9/3/2009 |
|
United States |
|
| Cardiac Disorder |
Death |
|
62 |
Male |
179 lb |
9/4/2009 |
Other Health Professional |
Czech Republic |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vomiting |
Other Serious |
10/24/2004 |
26 |
Female |
167 lb |
9/17/2009 |
|
United States |
|
| Myositis |
|
4/19/2000 |
60 |
Female |
248 lb |
9/23/2009 |
|
United States |
|
| Diabetes Mellitus Inadequate Control |
Hospitalization |
12/8/2002 |
33 |
Female |
172 lb |
9/23/2009 |
|
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/2001 |
35 |
Male |
230 lb |
10/6/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
1/1/2000 |
26 |
Male |
225 lb |
10/8/2009 |
|
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
4/10/2002 |
58 |
Male |
228 lb |
10/15/2009 |
|
United States |
|
| Unresponsive To Stimuli |
Hospitalization |
|
45 |
Female |
201 lb |
11/4/2009 |
Lawyer |
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/1997 |
31 |
Female |
246 lb |
11/16/2009 |
|
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/14/2003 |
37 |
Female |
253 lb |
11/18/2009 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
1/1/2003 |
53 |
Female |
164 lb |
11/19/2009 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Pneumonia |
Other Serious |
11/1/2004 |
|
Female |
|
12/1/2009 |
Consumer |
United States |
|
| Vitreous Floaters |
Other Serious |
1/1/1973 |
|
Male |
|
12/23/2009 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vision Blurred |
Other Serious |
1/1/2002 |
34 |
Male |
200 lb |
12/24/2009 |
|
United States |
|
| Toothache |
Other Serious |
1/1/2004 |
|
Male |
|
3/5/2010 |
Physician |
United States |
|
| Toothache |
Other Serious |
1/1/2004 |
|
Male |
|
3/24/2010 |
Physician |
United States |
|
| Toothache |
Other Serious |
1/1/2004 |
50 |
Male |
|
4/1/2010 |
Physician |
United States |
|
| Vomiting |
Hospitalization |
2/1/2010 |
63 |
Female |
231 lb |
4/15/2010 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Weight Increased |
Other Serious |
7/1/1999 |
60 |
Female |
|
4/29/2010 |
Other Health Professional |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Weight Decreased |
Other Serious |
9/10/2002 |
59 |
Male |
204 lb |
4/30/2010 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vomiting |
Other Serious |
4/8/2008 |
68 |
Male |
|
5/14/2010 |
Lawyer |
United States |
|
| Mental Status Changes |
Hospitalization |
3/24/2010 |
64 |
Female |
|
5/25/2010 |
Other Health Professional |
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
1/1/2002 |
42 |
Female |
193 lb |
6/1/2010 |
|
United States |
|
| Cardiac Arrest |
Hospitalization |
|
47 |
Male |
184 lb |
6/8/2010 |
Pharmacist |
United States |
|
| Weight Decreased |
Other Serious |
9/10/2002 |
59 |
Male |
230 lb |
6/11/2010 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Type 2 Diabetes Mellitus |
Other Serious |
6/29/1999 |
36 |
Male |
265 lb |
7/1/2010 |
|
United States |
|
| Nausea |
Other Serious |
1/1/2010 |
58 |
Male |
250 lb |
7/6/2010 |
Consumer |
|
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vomiting |
Other Serious |
7/1/1999 |
60 |
Female |
|
7/12/2010 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Vomiting |
Other Serious |
4/1/2007 |
69 |
Female |
185 lb |
7/12/2010 |
Other Health Professional |
United States |
|
| Muscle Spasms |
|
8/6/2007 |
58 |
Female |
125 lb |
7/14/2010 |
Consumer |
United States |
|
| Renal Failure |
Other Serious |
|
|
Female |
200 lb |
7/21/2010 |
Consumer |
United States |
|
| Type 1 Diabetes Mellitus |
Other Serious |
6/27/2001 |
54 |
Male |
194 lb |
7/22/2010 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
6/27/2001 |
54 |
Male |
214 lb |
7/27/2010 |
|
United States |
|
| Drug Ineffective |
|
1/1/2006 |
74 |
Female |
140 lb |
7/31/2010 |
Other Health Professional |
United States |
|
| Vomiting |
Other Serious |
7/1/1999 |
60 |
Female |
|
8/25/2010 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Diabetes Mellitus Inadequate Control |
Other Serious |
6/24/2007 |
62 |
Female |
184 lb |
9/17/2010 |
|
United States |
|
| Type 2 Diabetes Mellitus |
Other Serious |
10/4/2004 |
25 |
Female |
176 lb |
9/20/2010 |
|
United States |
|
| Vomiting |
Other Serious |
4/8/2008 |
68 |
Male |
|
10/6/2010 |
Other Health Professional |
United States |
|
| Thrombocytopenia |
Other Serious |
5/15/2010 |
59 |
Male |
209 lb |
10/7/2010 |
Other Health Professional |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Suicide Attempt |
Other Serious |
5/17/2004 |
76 |
Male |
|
10/11/2010 |
Lawyer |
United States |
|
| Vomiting |
Other Serious |
7/1/1999 |
60 |
Female |
|
10/12/2010 |
|
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Perirectal Abscess |
Other Serious |
|
|
Male |
|
1/6/2011 |
Lawyer |
United States |
|
| Discomfort |
|
|
69 |
Male |
|
1/7/2011 |
Consumer |
United States |
|
| Wrong Technique In Drug Usage Process |
|
|
|
Male |
150 lb |
1/30/2011 |
Consumer |
United States |
|
| Anaemia |
Hospitalization |
|
73 |
Female |
|
2/21/2011 |
Lawyer |
United States |
|
| Intentional Overdose |
Hospitalization |
1/1/1999 |
34 |
Female |
|
3/18/2011 |
Consumer |
United States |
|
| Rash |
Other Serious |
3/1/2011 |
47 |
Female |
230 lb |
3/24/2011 |
Consumer |
United States |
|
| Confusional State |
Death |
1/1/2010 |
70 |
Male |
219 lb |
4/1/2011 |
Other Health Professional |
United States |
|
| Cardiac Disorder |
Other Serious |
3/29/2004 |
|
Male |
|
4/21/2011 |
Lawyer |
United States |
|
| Hypophagia |
Hospitalization |
10/1/2005 |
70 |
Female |
160 lb |
2/2/2006 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Suicidal Ideation |
Hospitalization |
1/1/1999 |
34 |
Female |
|
4/26/2011 |
Lawyer |
United States |
|
| Blood Glucose Decreased |
Other Serious |
6/1/2003 |
76 |
Male |
200 lb |
4/28/2011 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Drug Ineffective |
Death |
1/1/2010 |
70 |
Male |
219 lb |
5/4/2011 |
Other Health Professional |
United States |
|
| Emotional Distress |
Other Serious |
3/12/2003 |
51 |
Male |
165 lb |
5/5/2011 |
Lawyer |
United States |
|
| Nephrolithiasis |
Other Serious |
3/29/2004 |
|
Male |
|
5/9/2011 |
Lawyer |
United States |
|
| Sepsis |
Hospitalization |
10/13/2010 |
83 |
Male |
|
12/17/2010 |
Physician |
United States |
|
| Cellulitis |
Death |
9/10/2002 |
59 |
Male |
230 lb |
6/7/2011 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Angina Pectoris |
Hospitalization |
1/1/1999 |
51 |
Male |
230 lb |
6/15/2011 |
Other Health Professional |
United States |
|
| Myopathy |
Hospitalization |
9/10/2002 |
59 |
Male |
230 lb |
6/16/2011 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Blood Glucose Decreased |
Other Serious |
1/1/2010 |
|
Female |
|
6/17/2011 |
Consumer |
United States |
|
| Vitamin D Deficiency |
Other Serious |
2/25/2002 |
63 |
Female |
|
6/23/2011 |
Physician |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Fear |
Other Serious |
5/14/2003 |
69 |
Male |
249 lb |
6/28/2011 |
Lawyer |
United States |
|
| Dry Mouth |
Hospitalization |
9/10/2002 |
59 |
Male |
230 lb |
6/28/2011 |
Consumer |
United States |
| Primary |
|
| Secondary |
|
| Concomitant |
|
|
| Tonsillar Hypertrophy |
Other Serious |
3/29/2004 |
42 |
Male |
|
7/29/2011 |
Lawyer |
United States |
|
| Anhedonia |
Hospitalization |
3/12/2003 |
51 |
Male |
165 lb |
8/1/2011 |
Other Health Professional |
United States |
|
| Hypoglycaemia |
Hospitalization |
|
|
|
315 lb |
8/4/2011 |
Physician |
United States |
|
| Anxiety |
Death |
5/14/2003 |
69 |
Male |
249 lb |
8/17/2011 |
Other Health Professional |
United States |
|