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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110946164 | 11094616 | 4 | F | 20160725 | 20150506 | 20160728 | PER | US-PFIZER INC-2015147617 | PFIZER | 69.00 | YR | F | Y | 79.00000 | KG | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110946164 | 11094616 | 1 | PS | LYRICA | PREGABALIN | 1 | Oral | 150 MG, 2X/DAY | U | 21446 | 150 | MG | CAPSULE, HARD | BID | |||||
| 110946164 | 11094616 | 2 | SS | LYRICA | PREGABALIN | 1 | Oral | 150 MG, 2X/DAY | U | 21446 | 150 | MG | CAPSULE, HARD | BID | |||||
| 110946164 | 11094616 | 3 | C | LANTUS | INSULIN GLARGINE | 1 | 45 IU, 1X/DAY (INJECT 45 UNITS INTO THE SKIN NIGHTLY) | 0 | 45 | IU | INJECTION | QD | |||||||
| 110946164 | 11094616 | 4 | C | JANUMET | METFORMIN HYDROCHLORIDESITAGLIPTIN PHOSPHATE | 1 | Oral | 1 DF, 2X/DAY (50 MG SITAGLIPTIN/1000 MG METFORMIN, WITH MEALS) | 0 | 1 | DF | TABLET | BID | ||||||
| 110946164 | 11094616 | 5 | C | MORPHINE | MORPHINE | 1 | 0 | ||||||||||||
| 110946164 | 11094616 | 6 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 110946164 | 11094616 | 7 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 110946164 | 11094616 | 8 | C | NORVASC | AMLODIPINE BESYLATE | 1 | Oral | 5 MG, DAILY | 0 | 5 | MG | TABLET | |||||||
| 110946164 | 11094616 | 9 | C | DIOVAN | VALSARTAN | 1 | Oral | 320 MG, DAILY | 0 | 320 | MG | TABLET | |||||||
| 110946164 | 11094616 | 10 | C | ASPIRIN (E.C.) | ASPIRIN | 1 | Oral | 162 MG, DAILY (81 MG, TAKE 2 TABLETS) | 0 | 162 | MG | TABLET | |||||||
| 110946164 | 11094616 | 11 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 10 MG, AS NEEDED (DAILY) | 0 | 10 | MG | TABLET | |||||||
| 110946164 | 11094616 | 12 | C | CINNAMON. | CINNAMON | 1 | Oral | 1000 MG, DAILY (500 MG CAPSULE) | 0 | 1000 | MG | CAPSULE | |||||||
| 110946164 | 11094616 | 13 | C | COENZYME Q10 | UBIDECARENONE | 1 | Oral | 30 MG, DAILY | 0 | 30 | MG | CAPSULE | |||||||
| 110946164 | 11094616 | 14 | C | EPIPEN JR | EPINEPHRINE | 1 | Intramuscular | 0.15 MG, AS NEEDED (0.15 MG/0.3 ML, INTO MUSCLE) | 0 | .15 | MG | INJECTION | |||||||
| 110946164 | 11094616 | 15 | C | FLAXSEED | FLAX SEED | 1 | Oral | 1000 MG, DAILY | 0 | 1000 | MG | CAPSULE | |||||||
| 110946164 | 11094616 | 16 | C | MAGNESIUM CITRATE. | MAGNESIUM CITRATE | 1 | Oral | 1 DF, DAILY | 0 | 1 | DF | CAPSULE | |||||||
| 110946164 | 11094616 | 17 | C | MULTIVITAMIN AND MINERAL | 2 | Oral | 1 DF, DAILY | 0 | 1 | DF | TABLET | ||||||||
| 110946164 | 11094616 | 18 | C | FISH OIL OMEGA 3 | 2 | Oral | 2 G, DAILY | 0 | 2 | G | CAPSULE | ||||||||
| 110946164 | 11094616 | 19 | C | ZOCOR | SIMVASTATIN | 1 | Oral | 20 MG, 1X/DAY (NIGHTLY) | 0 | 20 | MG | TABLET | QD | ||||||
| 110946164 | 11094616 | 20 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 2 MG, DAILY | 0 | 2 | MG | TABLET | |||||||
| 110946164 | 11094616 | 21 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 5 MG, DAILY | 0 | 5 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 110946164 | 11094616 | 1 | Diabetic neuropathy |
| 110946164 | 11094616 | 2 | Diabetic arthropathy |
| 110946164 | 11094616 | 3 | Type 2 diabetes mellitus |
| 110946164 | 11094616 | 4 | Diabetes mellitus |
| 110946164 | 11094616 | 7 | Blood cholesterol abnormal |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 110946164 | 11094616 | Gait disturbance | |
| 110946164 | 11094616 | Pain in extremity |
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 |
|---|---|---|---|---|---|---|
| 110946164 | 11094616 | 1 | 2008 | 0 | ||
| 110946164 | 11094616 | 2 | 20160719 | 0 |