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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117780732 | 11778073 | 2 | F | 20160818 | 20151125 | 20160823 | PER | US-PFIZER INC-2015382877 | PFIZER | 0.00 | F | Y | 0.00000 | 20160823 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117780732 | 11778073 | 1 | SS | NEXIUM 24HR | ESOMEPRAZOLE MAGNESIUM | 1 | UNK | U | 0 | PROLONGED-RELEASE CAPSULE | |||||||||
| 117780732 | 11778073 | 2 | PS | PROTONIX | PANTOPRAZOLE SODIUM | 1 | UNK | 20987 | |||||||||||
| 117780732 | 11778073 | 3 | SS | DIAZEPAM. | DIAZEPAM | 1 | GENERIC | U | 71583 | ||||||||||
| 117780732 | 11778073 | 4 | SS | DIAZEPAM. | DIAZEPAM | 1 | U | 71583 | |||||||||||
| 117780732 | 11778073 | 5 | SS | DIAZEPAM. | DIAZEPAM | 1 | U | 71583 | |||||||||||
| 117780732 | 11778073 | 6 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 117780732 | 11778073 | 7 | SS | PEPCID | FAMOTIDINE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117780732 | 11778073 | 3 | Back injury |
| 117780732 | 11778073 | 4 | Muscle tightness |
| 117780732 | 11778073 | 5 | Anxiety |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117780732 | 11778073 | Drug ineffective | |
| 117780732 | 11778073 | Intentional product misuse |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |