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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4833116 | 5931305 | I | 4833116-6 | 20051001 | 20051104 | 20051117 | EXP | 2005153918 | PFIZER INC | F | N | 160 | LBS | 20051116 | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4833116 | 1006645068 | PS | ANTIVERT | 1 | D | D | 10721 | ||||
| 4833116 | 1006670960 | SS | DRAMAMINE | 1 | U | U | |||||
| 4833116 | 1006670961 | SS | BENADRYL | 1 | D | D | |||||
| 4833116 | 1006670962 | SS | PENICILLIN G | 1 | D | D | |||||
| 4833116 | 1006670963 | SS | PRILOSEC | 1 | D | D | |||||
| 4833116 | 1006670965 | SS | PREVACID | 1 | D | D | |||||
| 4833116 | 1006670967 | C | PREDNISONE | 1 | |||||||
| 4833116 | 1006670968 | C | DARVOCET-N 100 | 1 | |||||||
| 4833116 | 1006670970 | C | KLONOPIN | 1 | |||||||
| 4833116 | 1006670971 | C | LEXAPRO | 1 | |||||||
| 4833116 | 1006670972 | C | ATENOLOL | 1 | |||||||
| 4833116 | 1006670973 | C | AXID | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4833116 | 1006645068 | VERTIGO |
| 4833116 | 1006670960 | ILL-DEFINED DISORDER |
| 4833116 | 1006670961 | URTICARIA |
| 4833116 | 1006670962 | ASTHMA |
| 4833116 | 1006670963 | HIATUS HERNIA |
| 4833116 | 1006670965 | HIATUS HERNIA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4833116 | DS |
Reactions reported
| Event ID | PT |
|---|---|
| 4833116 | AMNESIA |
| 4833116 | ANXIETY |
| 4833116 | ARTHRALGIA |
| 4833116 | ASTHMA |
| 4833116 | BACK PAIN |
| 4833116 | CHRONIC FATIGUE SYNDROME |
| 4833116 | DEPRESSION |
| 4833116 | DISTURBANCE IN SOCIAL BEHAVIOUR |
| 4833116 | DRUG INEFFECTIVE |
| 4833116 | DYSSTASIA |
| 4833116 | FALL |
| 4833116 | GASTRITIS |
| 4833116 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4833116 | HERPES ZOSTER |
| 4833116 | HIATUS HERNIA |
| 4833116 | HIP FRACTURE |
| 4833116 | HYPERSENSITIVITY |
| 4833116 | INSOMNIA |
| 4833116 | INTERVERTEBRAL DISC PROTRUSION |
| 4833116 | NERVOUSNESS |
| 4833116 | ORAL FUNGAL INFECTION |
| 4833116 | OSTEOARTHRITIS |
| 4833116 | PANIC ATTACK |
| 4833116 | PNEUMONIA |
| 4833116 | REACTION TO DRUG EXCIPIENTS |
| 4833116 | URTICARIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4833116 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4833116 | 1006670962 | 20051001 | 20051001 |