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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 106910093 | 10691009 | 3 | F | 2012 | 20160712 | 20150105 | 20160805 | PER | US-PFIZER INC-2014361769 | PFIZER | 30.00 | YR | M | Y | 82.00000 | KG | 20160805 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 106910093 | 10691009 | 1 | PS | VIAGRA | SILDENAFIL CITRATE | 1 | Oral | 10 MG, AS NEEDED | 20895 | 10 | MG | FILM-COATED TABLET | |||||||
| 106910093 | 10691009 | 2 | SS | VIAGRA | SILDENAFIL CITRATE | 1 | Oral | 100 MG, DAILY(30MIN TO 4 HOURS BEFORE SEXUAL ACTIVITY. MAX 100MG/24HR) | 20895 | 100 | MG | FILM-COATED TABLET | |||||||
| 106910093 | 10691009 | 3 | C | TYLENOL EXTRA STRENGTH | ACETAMINOPHEN | 1 | Oral | 500 MG, AS NEEDED (4000MG IN 24 HRS. 1-2 TABS EVERY 8 HOURS) | 0 | 500 | MG | TABLET | |||||||
| 106910093 | 10691009 | 4 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | Oral | 2.5 MG, AS NEEDED(FOUR TIMES DAILY) | 0 | 2.5 | MG | ||||||||
| 106910093 | 10691009 | 5 | C | VITAMIN C | ASCORBIC ACID | 1 | Oral | 500 MG, 2X/DAY | 0 | 500 | MG | TABLET | BID | ||||||
| 106910093 | 10691009 | 6 | C | VITAMIN C | ASCORBIC ACID | 1 | Oral | 1000 MG, 2X/DAY | 0 | 1000 | MG | TABLET | BID | ||||||
| 106910093 | 10691009 | 7 | C | LIORESAL | BACLOFEN | 1 | Oral | 10 MG, 3X/DAY(IF NEEDED ) | 0 | 10 | MG | TABLET | TID | ||||||
| 106910093 | 10691009 | 8 | C | DULCOLAX NOS | BISACODYL OR DOCUSATE SODIUM | 1 | Rectal | 10 MG, ALTERNATE DAY (INSERT 1 SUPPOSITORY RECTALLY EVERY OTHER DAY) | 0 | 10 | MG | SUPPOSITORY | QOD | ||||||
| 106910093 | 10691009 | 9 | C | CALTRATE | CALCIUM CARBONATE | 1 | Oral | 1 DF, 2X/DAY (600 MG (1,500 MG)) | 0 | 1 | DF | TABLET | BID | ||||||
| 106910093 | 10691009 | 10 | C | CARBAMIDE PEROXIDE | CARBAMIDE PEROXIDE | 1 | INTRA-AURAL | 10 GTT, 2X/DAY (6.5%) | 0 | 10 | GTT | EAR DROPS | BID | ||||||
| 106910093 | 10691009 | 11 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 2000 IU, 1X/DAY | 0 | 2000 | IU | CAPSULE | QD | ||||||
| 106910093 | 10691009 | 12 | C | KLONOPIN | CLONAZEPAM | 1 | Oral | 0.5 MG, 1X/DAY(AT BEDTIME) | 0 | .5 | MG | TABLET | QD | ||||||
| 106910093 | 10691009 | 13 | C | CRANBERRY EXTRACT | CRANBERRY JUICE | 1 | Oral | 500 MG, 2X/DAY | 0 | 500 | MG | CAPSULE | BID | ||||||
| 106910093 | 10691009 | 14 | C | COLACE | DOCUSATE SODIUM | 1 | Oral | 100 MG, 2X/DAY | 0 | 100 | MG | CAPSULE | BID | ||||||
| 106910093 | 10691009 | 15 | C | HYDROCORTISONE ACETATE. | HYDROCORTISONE ACETATE | 1 | Rectal | UNK, AS NEEDED (INSERT 1 SUPPOSITORY RECTALLY DAILY AS NEEDED) | 0 | SUPPOSITORY | |||||||||
| 106910093 | 10691009 | 16 | C | ADVIL | IBUPROFEN | 1 | Oral | 200 MG, AS NEEDED(1-2 TABS EVERY 4-6 HOURS) | 0 | 200 | MG | TABLET | |||||||
| 106910093 | 10691009 | 17 | C | MOTRIN | IBUPROFEN | 1 | Oral | 200 MG, AS NEEDED (1-2 TABS EVERY 4-6 HOURS) | 0 | 200 | MG | TABLET | |||||||
| 106910093 | 10691009 | 18 | C | EMLA | LIDOCAINEPRILOCAINE | 1 | Topical | UNK (2.5-2.5 % APPLY TOPICALLY TO RECTUM BEFORE BOWEL PROGRAM ) | 0 | CREAM | |||||||||
| 106910093 | 10691009 | 19 | C | MELATONIN | MELATONIN | 1 | Oral | 3 MG, AS NEEDED(AT BEDTIME) | 0 | 3 | MG | TABLET | |||||||
| 106910093 | 10691009 | 20 | C | HIPREX | METHENAMINE HIPPURATE | 1 | Oral | 1 G, 2X/DAY | 0 | 1 | G | TABLET | BID | ||||||
| 106910093 | 10691009 | 21 | C | CORTISPORIN OTIC | 2 | 4 GTT, 4X/DAY(NEOMYCIN: 3.5 MG/ML, POLYMYXIN B SULF: 10,000 UNIT/ML, HC:1%) | 0 | 4 | GTT | QID | |||||||||
| 106910093 | 10691009 | 22 | C | PROCARDIA | NIFEDIPINE | 1 | Oral | 10 MG, AS NEEDED(DAILY) | 0 | 10 | MG | CAPSULE | |||||||
| 106910093 | 10691009 | 23 | C | ADALAT | NIFEDIPINE | 1 | Oral | 10 MG, AS NEEDED(DAILY) | 0 | 10 | MG | CAPSULE | |||||||
| 106910093 | 10691009 | 24 | C | NYSTATIN. | NYSTATIN | 1 | UNK, AS NEEDED(DAILY) | 0 | |||||||||||
| 106910093 | 10691009 | 25 | C | OXYTROL | OXYBUTYNIN | 1 | UNK(APPLY 2 PATCHES ON DRY, CLEAN, HAIRLESS SKIN. EVERY SUNDAY AND WEDNESDAY) | 0 | TRANSDERMAL PATCH | ||||||||||
| 106910093 | 10691009 | 26 | C | GLYCOLAX | POLYETHYLENE GLYCOL 3350 | 1 | Oral | 17 G, AS NEEDED(17 GRAMS MIXED IN 8 OZ WATER DAILY) | 0 | 17 | G | ||||||||
| 106910093 | 10691009 | 27 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | 17 G, AS NEEDED(17 GRAMS MIXED IN 8 OZ WATER DAILY) | 0 | 17 | G | |||||||||
| 106910093 | 10691009 | 28 | C | PRAMOXINE/ZINC OXIDE | 2 | Topical | UNK, AS NEEDED(DAILY) | 0 | |||||||||||
| 106910093 | 10691009 | 29 | C | SENNA | SENNA LEAFSENNOSIDESSENNOSIDES A AND B | 1 | 17.2 MG, DAILY | 0 | 17.2 | MG | TABLET | ||||||||
| 106910093 | 10691009 | 30 | C | MYLANTA GAS | 2 | Oral | 80 MG, 3X/DAY(IF NEEDED;MAX DOSE: 500 MG PER 24 HRS CHEW 1 TAB WITH MEALS) | 0 | 80 | MG | CHEWABLE TABLET | TID | |||||||
| 106910093 | 10691009 | 31 | C | GAS-X | DIMETHICONE | 1 | Oral | 80 MG, 3X/DAY(IF NEEDED; MAX DOSE: 500 MG PER 24 HRS CHEW 1 TAB WITH MEALS) | 0 | 80 | MG | CHEWABLE TABLET | TID | ||||||
| 106910093 | 10691009 | 32 | C | HYTRIN | TERAZOSIN HYDROCHLORIDE | 1 | Oral | 5 MG, 1X/DAY(AT BEDTIME) | 0 | 5 | MG | CAPSULE | QD | ||||||
| 106910093 | 10691009 | 33 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 300 MG, 1X/DAY(2 CAPSULES, EVERY MORNING) | 0 | 300 | MG | PROLONGED-RELEASE TABLET | QD | ||||||
| 106910093 | 10691009 | 34 | C | PROVENTIL | ALBUTEROL | 1 | Respiratory (inhalation) | 3 ML, UNK(EVERY 4 HOURS IF NEEDED) | 0 | 3 | ML | NEBULISER SOLUTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 106910093 | 10691009 | 1 | Erectile dysfunction |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 106910093 | 10691009 | Drug effect incomplete | |
| 106910093 | 10691009 | Prescribed underdose |
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 |
|---|---|---|---|---|---|---|
| 106910093 | 10691009 | 1 | 2012 | 0 |