Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104027124 | 10402712 | 4 | F | 20160614 | 20140822 | 20160701 | PER | US-PFIZER INC-2014232913 | PFIZER | 74.00 | YR | F | Y | 0.00000 | 20160701 | MD | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104027124 | 10402712 | 1 | PS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 3X/DAY | U | 21446 | 75 | MG | CAPSULE, HARD | TID | |||||
| 104027124 | 10402712 | 2 | SS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 2X/DAY | U | 21446 | 75 | MG | CAPSULE, HARD | BID | |||||
| 104027124 | 10402712 | 3 | C | ALLOPURINOL. | ALLOPURINOL | 1 | Oral | 300 MG, 1X/DAY | 0 | 300 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 4 | C | ALLOPURINOL. | ALLOPURINOL | 1 | Oral | 300 MG, 1X/DAY | 0 | 300 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 5 | C | ECOTRIN | ASPIRIN | 1 | Oral | 325 MG, 1X/DAY | 0 | 325 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 6 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Oral | 10 MG, 3X/DAY AS PER NEEDED | 0 | 10 | MG | TABLET | TID | ||||||
| 104027124 | 10402712 | 7 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Oral | 5 MG, 1X/DAY | 0 | 5 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 8 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Oral | 5 MG, 1X/DAY | 0 | 5 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 9 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 500 MG, 2X/DAY | 0 | 500 | MG | TABLET | BID | ||||||
| 104027124 | 10402712 | 10 | C | IBUPROFEN. | IBUPROFEN | 1 | 600 MG, 3X/DAY | 0 | 600 | MG | TABLET | TID | |||||||
| 104027124 | 10402712 | 11 | C | KLOR-CON | POTASSIUM CHLORIDE | 1 | Oral | 10 MEQ, 1X/DAY | 0 | 10 | MEQ | TABLET | QD | ||||||
| 104027124 | 10402712 | 12 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 100 MG, 1X/DAY | 0 | 100 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 13 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 100 UG, 1X/DAY | 0 | 100 | UG | TABLET | QD | ||||||
| 104027124 | 10402712 | 14 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 20 MG, 1X/DAY | 0 | 20 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 15 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 40 MG, 1X/DAY | 0 | 40 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 16 | C | METHOTREXATE. | METHOTREXATE | 1 | 25 MG/ML, WEEKLY | 0 | SOLUTION FOR INJECTION | /wk | |||||||||
| 104027124 | 10402712 | 17 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 1000 IU, WEEKLY | 0 | 1000 | IU | CAPSULE | /wk | ||||||
| 104027124 | 10402712 | 18 | C | WELCHOL | COLESEVELAM HYDROCHLORIDE | 1 | Oral | 625 MG, 2X/DAY | 0 | 625 | MG | TABLET | BID | ||||||
| 104027124 | 10402712 | 19 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | Oral | 50 MG, 1X/DAY (AT BEDTIME) | 0 | 50 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 20 | C | SIMPONI | GOLIMUMAB | 1 | UNK | 0 | |||||||||||
| 104027124 | 10402712 | 21 | C | CYANOCOBALAMIN. | CYANOCOBALAMIN | 1 | 1 ML, 2X/WEEK | 0 | 1 | ML | SOLUTION FOR INJECTION | BIW | |||||||
| 104027124 | 10402712 | 22 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 40 MG, 1X/DAY | 0 | 40 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 23 | C | SERTRALINE HCL | SERTRALINE HYDROCHLORIDE | 1 | Oral | 100 MG, 1X/DAY | 0 | 100 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 24 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 1 MG, 1X/DAY | 0 | 1 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 25 | C | ERGOCALCIFEROL. | ERGOCALCIFEROL | 1 | Oral | 50000 IU, 1X/DAY | 0 | 50000 | IU | CAPSULE | QD | ||||||
| 104027124 | 10402712 | 26 | C | CETIRIZINE HCL | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 10 MG, UNK | 0 | 10 | MG | TABLET | |||||||
| 104027124 | 10402712 | 27 | C | CETIRIZINE HCL | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 10 MG, AS NEEDED ONCE A DAY | 0 | 10 | MG | TABLET | |||||||
| 104027124 | 10402712 | 28 | C | FLUTICASONE PROPIONATE. | FLUTICASONE PROPIONATE | 1 | Nasal | UNK, AS NEEDED (1 SPRAY IN EACH NOSTRIL AS NEED ; TWICE A DAY) | 0 | ||||||||||
| 104027124 | 10402712 | 29 | C | RABEPRAZOLE SODIUM. | RABEPRAZOLE SODIUM | 1 | Oral | 20 MG, 1X/DAY | 0 | 20 | MG | MODIFIED-RELEASE TABLET | QD | ||||||
| 104027124 | 10402712 | 30 | C | CHOLECALCIFEROL | CHOLECALCIFEROL | 1 | Oral | 2000 IU, 1X/DAY | 0 | 2000 | IU | CAPSULE | QD | ||||||
| 104027124 | 10402712 | 31 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 81 MG, 1X/DAY | 0 | 81 | MG | PROLONGED-RELEASE TABLET | QD | ||||||
| 104027124 | 10402712 | 32 | C | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Oral | 40 MG, 1X/DAY | 0 | 40 | MG | TABLET | QD | ||||||
| 104027124 | 10402712 | 33 | C | DULOXETINE HCL | DULOXETINE HYDROCHLORIDE | 1 | Oral | 30 MG, 1X/DAY | 0 | 30 | MG | MODIFIED-RELEASE CAPSULE, HARD | QD | ||||||
| 104027124 | 10402712 | 34 | C | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Subcutaneous | 12 IU, DAILY | 0 | 12 | IU | ||||||||
| 104027124 | 10402712 | 35 | C | PREGABALIN. | PREGABALIN | 1 | Oral | 75 MG, 3X/DAY | 0 | 75 | MG | CAPSULE | TID | ||||||
| 104027124 | 10402712 | 36 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Oral | 1 DF, AS NEEDED (EVERY 6 HRS) | 0 | 1 | DF | TABLET |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104027124 | 10402712 | Malaise |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 104027124 | 10402712 | 1 | 20121228 | 0 | ||
| 104027124 | 10402712 | 2 | 20160407 | 0 | ||
| 104027124 | 10402712 | 3 | 20120920 | 0 | ||
| 104027124 | 10402712 | 4 | 20151112 | 0 | ||
| 104027124 | 10402712 | 7 | 20121126 | 0 | ||
| 104027124 | 10402712 | 8 | 20160407 | 0 | ||
| 104027124 | 10402712 | 9 | 20120920 | 0 | ||
| 104027124 | 10402712 | 11 | 20120904 | 0 | ||
| 104027124 | 10402712 | 12 | 20121218 | 0 | ||
| 104027124 | 10402712 | 13 | 20160407 | 0 | ||
| 104027124 | 10402712 | 14 | 20121126 | 0 | ||
| 104027124 | 10402712 | 15 | 20160407 | 0 | ||
| 104027124 | 10402712 | 16 | 20160407 | 0 | ||
| 104027124 | 10402712 | 18 | 20120920 | 0 | ||
| 104027124 | 10402712 | 21 | 20160407 | 0 | ||
| 104027124 | 10402712 | 22 | 20160407 | 0 | ||
| 104027124 | 10402712 | 23 | 20160407 | 0 | ||
| 104027124 | 10402712 | 24 | 20160407 | 0 | ||
| 104027124 | 10402712 | 25 | 20160407 | 0 | ||
| 104027124 | 10402712 | 26 | 20160407 | 0 | ||
| 104027124 | 10402712 | 28 | 20160106 | 0 | ||
| 104027124 | 10402712 | 29 | 20160407 | 0 | ||
| 104027124 | 10402712 | 30 | 20151112 | 0 | ||
| 104027124 | 10402712 | 31 | 20151112 | 0 | ||
| 104027124 | 10402712 | 32 | 20151112 | 0 | ||
| 104027124 | 10402712 | 33 | 20151112 | 0 | ||
| 104027124 | 10402712 | 34 | 20160407 | 0 | ||
| 104027124 | 10402712 | 35 | 20151112 | 0 | ||
| 104027124 | 10402712 | 36 | 20151112 | 0 |