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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121335113 | 12133511 | 3 | F | 20151102 | 20160627 | 20160301 | 20160705 | EXP | FR-PFIZER INC-2016120893 | PFIZER | 81.00 | YR | F | Y | 0.00000 | 20160705 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121335113 | 12133511 | 1 | PS | Fragmine | DALTEPARIN SODIUM | 1 | Subcutaneous | 1 DF, 1X/DAY | 5 | DF | Y | 20287 | 1 | DF | SOLUTION FOR INJECTION | QD | |||
| 121335113 | 12133511 | 2 | SS | Fragmine | DALTEPARIN SODIUM | 1 | Subcutaneous | 1 UNK, UNK | 5 | DF | Y | 20287 | 1 | DF | SOLUTION FOR INJECTION | QD | |||
| 121335113 | 12133511 | 3 | SS | ONDANSETRON | ONDANSETRON | 1 | 1 DF, DAILY, IF NEEDED | 77473 | 1 | DF | |||||||||
| 121335113 | 12133511 | 4 | SS | INEXIUM /01479302/ | ESOMEPRAZOLE MAGNESIUM | 1 | Oral | 40 MG, 2X/DAY | Y | 0 | 40 | MG | GASTRO-RESISTANT TABLET | BID | |||||
| 121335113 | 12133511 | 5 | SS | MOTILIUM | DOMPERIDONE | 1 | 10 MG, 3X/DAY | 330 | MG | Y | 0 | 10 | MG | FILM-COATED TABLET | TID | ||||
| 121335113 | 12133511 | 6 | SS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Intravenous (not otherwise specified) | 8 MG/HOUR | 320 | MG | Y | 0 | 8 | MG | |||||
| 121335113 | 12133511 | 7 | SS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Intravenous (not otherwise specified) | 40 MG, 2X/DAY | 320 | MG | Y | 0 | 40 | MG | BID | ||||
| 121335113 | 12133511 | 8 | SS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Intravenous (not otherwise specified) | 8 MG/HOUR | 320 | MG | Y | 0 | 8 | MG | |||||
| 121335113 | 12133511 | 9 | SS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Intravenous (not otherwise specified) | 40 MG, 2X/DAY | 320 | MG | Y | 0 | 40 | MG | BID | ||||
| 121335113 | 12133511 | 10 | SS | POLYIONIQUE G5 | DEXTROSEPOTASSIUM CHLORIDESODIUM CHLORIDE | 1 | Intravenous (not otherwise specified) | 1 DF, 1X/DAY | 12 | DF | Y | 0 | 1 | DF | QD | ||||
| 121335113 | 12133511 | 11 | SS | POLYIONIQUE G5 | DEXTROSEPOTASSIUM CHLORIDESODIUM CHLORIDE | 1 | 500 ML, UNK | 12 | DF | Y | 0 | 500 | ML | ||||||
| 121335113 | 12133511 | 12 | SS | SETOFILM | ONDANSETRON | 1 | 4 MG, 2X/DAY | 88 | MG | Y | 0 | 4 | MG | BID | |||||
| 121335113 | 12133511 | 13 | C | RIFAMPICIN | RIFAMPIN | 1 | 900 MG, DAILY | 0 | 900 | MG | |||||||||
| 121335113 | 12133511 | 14 | C | RIFAMPICIN | RIFAMPIN | 1 | 900 MG, DAILY | 0 | 900 | MG | |||||||||
| 121335113 | 12133511 | 15 | C | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | 4 DF, DAILY | 0 | 4 | DF | |||||||||
| 121335113 | 12133511 | 16 | C | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | UNK | 0 | |||||||||||
| 121335113 | 12133511 | 17 | C | DOLIPRANE | ACETAMINOPHEN | 1 | 1 G, 3X/DAY | 0 | 1 | G | TID | ||||||||
| 121335113 | 12133511 | 18 | C | TARDYFERON | FERROUS SULFATE | 1 | 1 DF, DAILY | 0 | 1 | DF | |||||||||
| 121335113 | 12133511 | 19 | C | VITAMIN C | ASCORBIC ACID | 1 | 1 G, DAILY | 0 | 1 | G | |||||||||
| 121335113 | 12133511 | 20 | C | VITAMIN K1 | PHYTONADIONE | 1 | 10 MG, UNK | 0 | 10 | MG | |||||||||
| 121335113 | 12133511 | 21 | C | VITAMIN K1 | PHYTONADIONE | 1 | 10 MG, UNK | 0 | 10 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121335113 | 12133511 | 1 | Thrombophlebitis |
| 121335113 | 12133511 | 3 | Nausea |
| 121335113 | 12133511 | 4 | Gastroduodenal ulcer |
| 121335113 | 12133511 | 5 | Nausea |
| 121335113 | 12133511 | 6 | Gastroduodenal ulcer |
| 121335113 | 12133511 | 10 | Abdominal cavity drainage |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121335113 | 12133511 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121335113 | 12133511 | Neutropenia |
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 |
|---|---|---|---|---|---|---|
| 121335113 | 12133511 | 1 | 20151028 | 20151028 | 0 | |
| 121335113 | 12133511 | 2 | 20151030 | 20151103 | 0 | |
| 121335113 | 12133511 | 3 | 20151021 | 20151023 | 0 | |
| 121335113 | 12133511 | 4 | 20151103 | 20151109 | 0 | |
| 121335113 | 12133511 | 5 | 20151023 | 20151113 | 0 | |
| 121335113 | 12133511 | 6 | 20151022 | 0 | ||
| 121335113 | 12133511 | 7 | 20151024 | 0 | ||
| 121335113 | 12133511 | 8 | 20151027 | 20151030 | 0 | |
| 121335113 | 12133511 | 9 | 20151030 | 20151102 | 0 | |
| 121335113 | 12133511 | 10 | 20151022 | 20151024 | 0 | |
| 121335113 | 12133511 | 11 | 20151028 | 20151103 | 0 | |
| 121335113 | 12133511 | 12 | 20151023 | 20151103 | 0 | |
| 121335113 | 12133511 | 13 | 20151021 | 20151021 | 0 | |
| 121335113 | 12133511 | 14 | 20151023 | 20151027 | 0 | |
| 121335113 | 12133511 | 15 | 20151021 | 20151027 | 0 | |
| 121335113 | 12133511 | 17 | 20151021 | 0 | ||
| 121335113 | 12133511 | 18 | 20151021 | 0 | ||
| 121335113 | 12133511 | 20 | 20151022 | 0 | ||
| 121335113 | 12133511 | 21 | 20151112 | 20151113 | 0 |