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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117867092 | 11786709 | 2 | F | 20150722 | 20160721 | 20151130 | 20160727 | EXP | US-PFIZER INC-2015251612 | PFIZER | 78.00 | YR | F | Y | 64.00000 | KG | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117867092 | 11786709 | 1 | PS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Intramuscular | 0.5 ML, SINGLE | L77777 | 125324 | .5 | ML | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | ||||||
| 117867092 | 11786709 | 2 | SS | SULFAMETHOXAZOLE/TRIMETHOPRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | 800-160, 2X/DAY (800-160 MG TABLET) | Y | 17376 | TABLET | BID | ||||||||
| 117867092 | 11786709 | 3 | SS | DILTIAZEM HCL | DILTIAZEM HYDROCHLORIDE | 1 | UNK | U | 74941 | ||||||||||
| 117867092 | 11786709 | 4 | SS | XARELTO | RIVAROXABAN | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117867092 | 11786709 | 1 | Immunisation |
| 117867092 | 11786709 | 2 | Cystitis |
| 117867092 | 11786709 | 3 | Blood pressure management |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117867092 | 11786709 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117867092 | 11786709 | Abdominal pain upper | |
| 117867092 | 11786709 | Asthenia | |
| 117867092 | 11786709 | Erythema | |
| 117867092 | 11786709 | Hypersensitivity | |
| 117867092 | 11786709 | Malaise | |
| 117867092 | 11786709 | Movement disorder | |
| 117867092 | 11786709 | Pain | |
| 117867092 | 11786709 | Peripheral swelling | |
| 117867092 | 11786709 | Pruritus |
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 |
|---|---|---|---|---|---|---|
| 117867092 | 11786709 | 1 | 20150722 | 20150722 | 0 | |
| 117867092 | 11786709 | 2 | 20150722 | 0 |