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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120795683 | 12079568 | 3 | F | 20160117 | 20160713 | 20160216 | 20160719 | EXP | FR-PFIZER INC-2016079585 | PFIZER | 28.00 | YR | F | Y | 85.50000 | KG | 20160719 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120795683 | 12079568 | 1 | SS | CLOTIAZEPAM | CLOTIAZEPAM | 1 | Oral | 18 DF, SINGLE | Y | 0 | 18 | DF | |||||||
| 120795683 | 12079568 | 2 | PS | VENLAFAXINE HCL | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 88 DF, SINGLE | Y | 20699 | 88 | DF | |||||||
| 120795683 | 12079568 | 3 | SS | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | Oral | 32 DF, SINGLE | Y | 0 | 32 | DF | |||||||
| 120795683 | 12079568 | 4 | SS | ALPRAZOLAM. | ALPRAZOLAM | 1 | Oral | 17.5 MG, SINGLE (70 DF) | Y | 18276 | 17.5 | MG | |||||||
| 120795683 | 12079568 | 5 | SS | XEROQUEL | QUETIAPINE FUMARATE | 1 | Oral | 40 DF, SINGLE | Y | 0 | 40 | DF | |||||||
| 120795683 | 12079568 | 6 | SS | BACLOFEN. | BACLOFEN | 1 | Oral | 96 DF, SINGLE | Y | 0 | 96 | DF | |||||||
| 120795683 | 12079568 | 7 | SS | THERALENE | TRIMEPRAZINE | 1 | Oral | 43 DF, SINGLE | Y | 0 | 43 | DF | |||||||
| 120795683 | 12079568 | 8 | SS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 15 DF, SINGLE | Y | 0 | 15 | DF | |||||||
| 120795683 | 12079568 | 9 | C | DAFLON /00426001/ | DIOSMIN | 1 | Oral | 80 DF, SINGLE | 0 | 80 | DF | ||||||||
| 120795683 | 12079568 | 10 | C | KETUM | KETOPROFEN | 1 | Oral | 17 DF, SINGLE | 0 | 17 | DF | ||||||||
| 120795683 | 12079568 | 11 | C | SULFARLEM | ANETHOLTRITHION | 1 | Oral | 150 DF, SINGLE | 0 | 150 | DF | ||||||||
| 120795683 | 12079568 | 12 | C | NALTREXONE | NALTREXONE | 1 | Oral | 40 DF, SINGLE | 0 | 40 | DF | ||||||||
| 120795683 | 12079568 | 13 | C | PYOSTACINE | PRISTINAMYCIN | 1 | Oral | 16 DF, SINGLE | 0 | 16 | DF | ||||||||
| 120795683 | 12079568 | 14 | C | SPASFON /00765801/ | PHLOROGLUCINOL1,3,5-TRIMETHOXYBENZENE | 1 | Oral | 20 DF, SINGLE | 0 | 20 | DF | ||||||||
| 120795683 | 12079568 | 15 | C | DOLIPRANE | ACETAMINOPHEN | 1 | Oral | 8 DF, SINGLE | 0 | 8 | DF | ||||||||
| 120795683 | 12079568 | 16 | C | ASPIRINE | ASPIRIN | 1 | Oral | 14 DF, SINGLE (1000MG) | 0 | 14 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120795683 | 12079568 | 3 | Toxicity to various agents |
| 120795683 | 12079568 | 4 | Toxicity to various agents |
| 120795683 | 12079568 | 5 | Toxicity to various agents |
| 120795683 | 12079568 | 6 | Toxicity to various agents |
| 120795683 | 12079568 | 7 | Toxicity to various agents |
| 120795683 | 12079568 | 8 | Toxicity to various agents |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120795683 | 12079568 | HO |
| 120795683 | 12079568 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120795683 | 12079568 | Alcohol withdrawal syndrome | |
| 120795683 | 12079568 | Coma | |
| 120795683 | 12079568 | Drug withdrawal convulsions | |
| 120795683 | 12079568 | Electrocardiogram QT prolonged | |
| 120795683 | 12079568 | Hepatocellular injury | |
| 120795683 | 12079568 | Overdose | |
| 120795683 | 12079568 | Seizure | |
| 120795683 | 12079568 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 120795683 | 12079568 | 1 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 2 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 3 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 4 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 5 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 6 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 7 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 8 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 9 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 10 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 11 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 12 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 13 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 14 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 15 | 20160117 | 20160117 | 0 | |
| 120795683 | 12079568 | 16 | 20160117 | 20160117 | 0 |