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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5119583 | 6145300 | I | 5119583-1 | 20051101 | 20060830 | 20060929 | EXP | 2006108418 | PFIZER INC. | 35 | YR | M | N | 240 | LBS | 20060928 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
5119583 | 1007725125 | PS | BEXTRA | 1 | 40 MG (20 MG, 2 IN 1 D) | D | D | 21341 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
5119583 | 1007725125 | BACK PAIN |
5119583 | 1007725125 | MUSCLE SPASMS |
Outcome of event
Event ID | OUTC COD |
---|---|
5119583 | OT |
Reactions reported
Event ID | PT |
---|---|
5119583 | ASTHMA |
5119583 | TOXIC EPIDERMAL NECROLYSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
5119583 | CSM |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
5119583 | 1007725125 | 20030801 | 20050801 |