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Serious side effects of Ibrance that have been reported include: neutropenia (low level of certain white blood cells)* very low levels of other blood cells, such as red blood cells and platelets serious lung problems, such as pneumonitis (inflammation in your lungs), which may cause shortness of breath and can be life threatening allergic reaction* * For more information about this side effect, see the Side effect focus section below

Attal M, Richardson PG, Rajkumar SV, et al

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Ischemic Stroke (ICD-10 codes, I63, G45) comprises patients who had undergone at least one brain CT or MR imaging test within 30 days from the date of diagnostic code registration

Vitamin supplements can cause side effects, though these are unlikely to relate to their expiration