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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105171433 | 10517143 | 3 | F | 2012 | 20160802 | 20141014 | 20160804 | EXP | US-PFIZER INC-2014279408 | PFIZER | 64.00 | YR | F | Y | 89.00000 | KG | 20160804 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105171433 | 10517143 | 1 | PS | PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | 10 MG, DAILY | Y | 11839 | 10 | MG | TABLET | |||||||
| 105171433 | 10517143 | 2 | SS | PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | Y | 11839 | TABLET | ||||||||||
| 105171433 | 10517143 | 3 | C | NOVOLOG | INSULIN ASPART | 1 | 20 IU, DAILY | 0 | 20 | IU | |||||||||
| 105171433 | 10517143 | 4 | C | IRON | IRON | 1 | UNK | 0 | |||||||||||
| 105171433 | 10517143 | 5 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 1 MG, 2X/DAY (EVERY 12 HOURS) | 0 | 1 | MG | BID | ||||||||
| 105171433 | 10517143 | 6 | C | APAP/CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105171433 | 10517143 | 1 | Menorrhagia |
| 105171433 | 10517143 | 2 | Cytology abnormal |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105171433 | 10517143 | HO |
| 105171433 | 10517143 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105171433 | 10517143 | Agitation | |
| 105171433 | 10517143 | Alopecia | |
| 105171433 | 10517143 | Anger | |
| 105171433 | 10517143 | Drug ineffective for unapproved indication | |
| 105171433 | 10517143 | Mental disorder | |
| 105171433 | 10517143 | Mood swings | |
| 105171433 | 10517143 | Suicidal ideation |
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 |
|---|---|---|---|---|---|---|
| 105171433 | 10517143 | 1 | 20120731 | 0 | ||
| 105171433 | 10517143 | 5 | 20120522 | 0 | ||
| 105171433 | 10517143 | 6 | 20111118 | 0 |