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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120015122 | 12001512 | 2 | F | 20120719 | 20160706 | 20160204 | 20160712 | EXP | US-PFIZER INC-2016059879 | PFIZER | 67.00 | YR | M | Y | 0.00000 | 20160712 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120015122 | 12001512 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK | U | 85635 | SOLUTION FOR INJECTION | |||||||||
| 120015122 | 12001512 | 2 | SS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | 100 MG, UNK | U | 85635 | 100 | MG | SOLUTION FOR INJECTION | |||||||
| 120015122 | 12001512 | 3 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | 200 MG, EVERY 2 WEEKS | U | 0 | 200 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120015122 | 12001512 | 1 | Hormone replacement therapy |
| 120015122 | 12001512 | 3 | Hormone replacement therapy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120015122 | 12001512 | OT |
| 120015122 | 12001512 | HO |
| 120015122 | 12001512 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120015122 | 12001512 | Activities of daily living impaired | |
| 120015122 | 12001512 | Cardiac valve disease | |
| 120015122 | 12001512 | Cardiomyopathy | |
| 120015122 | 12001512 | Myocardial infarction | |
| 120015122 | 12001512 | Thrombosis |
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 |
|---|---|---|---|---|---|---|
| 120015122 | 12001512 | 1 | 20100619 | 20121030 | 0 | |
| 120015122 | 12001512 | 2 | 2010 | 0 | ||
| 120015122 | 12001512 | 3 | 2010 | 0 |