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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104076189 | 10407618 | 9 | F | 20160812 | 20140825 | 20160817 | PER | US-PFIZER INC-2014236195 | PFIZER | 63.00 | YR | M | Y | 74.00000 | KG | 20160817 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104076189 | 10407618 | 1 | PS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 75 MG, 1X/DAY (QAM, DAILY) | 20699 | 75 | MG | PROLONGED-RELEASE CAPSULE | QD | ||||||
| 104076189 | 10407618 | 2 | SS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | 20699 | PROLONGED-RELEASE CAPSULE | |||||||||||
| 104076189 | 10407618 | 3 | C | LEVEMIR | INSULIN DETEMIR | 1 | 12 UNITS IN MORNING IN 10 UNITS AT NIGHT | 0 | BID | ||||||||||
| 104076189 | 10407618 | 4 | C | CAPECITABINE. | CAPECITABINE | 1 | 3000 MG, 2X/DAY | 0 | 3000 | MG | TABLET | BID | |||||||
| 104076189 | 10407618 | 5 | C | NOVOLOG | INSULIN ASPART | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 104076189 | 10407618 | 1 | Neuropathy peripheral |
| 104076189 | 10407618 | 2 | Diabetic neuropathy |
| 104076189 | 10407618 | 5 | Diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104076189 | 10407618 | Limb discomfort | |
| 104076189 | 10407618 | Malaise | |
| 104076189 | 10407618 | Pain | |
| 104076189 | 10407618 | Pre-existing condition improved | |
| 104076189 | 10407618 | Product use issue | |
| 104076189 | 10407618 | Therapeutic response unexpected |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |