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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4629632 | 5744332 | F | 1 | 4629632-2 | 20050128 | 20050324 | 20050406 | EXP | 2005023892 | SSR PFIZER INC | 67 | YR | F | N | 20050405 | PH | JAPAN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4629632 | 1005856171 | PS | ATARAX | 1 | INTRAMUSCULAR | 25 MG (1 D) INTRAMUSCULAR | Y | D | 11111 | ||
| 4629632 | 1005880787 | SS | PENTAZOCINE LACTATE | 1 | INTRAMUSCULAR | 15 MG (15 MG, 1 IN 1D), INTRAMUSCULAR | Y | D | |||
| 4629632 | 1005880790 | SS | DROPERIDOL | 1 | INTRAVENOUS | 1 ML (1 ML, 1 IN 1 D), INTRAVENOUS | Y | D | |||
| 4629632 | 1005880791 | C | NIFEDIPINE | 1 | |||||||
| 4629632 | 1005880792 | C | TEPRENONE (TEPRENONE) | 2 | |||||||
| 4629632 | 1005880794 | C | NICERITROL (NICERITROL) | 2 | |||||||
| 4629632 | 1005880795 | C | ASPIRIN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4629632 | 1005856171 | ILL-DEFINED DISORDER |
| 4629632 | 1005880787 | ILL-DEFINED DISORDER |
| 4629632 | 1005880790 | ILL-DEFINED DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4629632 | HO |
| 4629632 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4629632 | BLOOD PRESSURE INCREASED |
| 4629632 | CEREBRAL INFARCTION |
| 4629632 | COLD SWEAT |
| 4629632 | NAUSEA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4629632 | FGN |
| 4629632 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4629632 | 1005856171 | 20050128 | 20050128 | ||
| 4629632 | 1005880787 | 20050128 | |||
| 4629632 | 1005880790 | 20050128 |