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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466777 | 4215625 | F | 1 | 4466777-4 | 20011101 | 20040917 | 20040930 | EXP | 2004062440 | PFIZER INC. | 55 | YR | M | N | 20040929 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4466777 | 1005268283 | PS | DILANTIN | 1 | ORAL | 400 MG , ORAL | U | U | 8762 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4466777 | 1005268283 | CONVULSION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4466777 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4466777 | CONVULSION |
| 4466777 | DRUG LEVEL DECREASED |
| 4466777 | DRUG LEVEL INCREASED |
| 4466777 | FALL |
| 4466777 | LOSS OF CONSCIOUSNESS |
| 4466777 | STATUS EPILEPTICUS |
| 4466777 | TREATMENT NONCOMPLIANCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4466777 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4466777 | 1005268283 | 20011101 |