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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121375457 | 12137545 | 7 | F | 201602 | 20160713 | 20160302 | 20160719 | PER | US-PFIZER INC-2016028956 | PFIZER | 70.00 | YR | F | Y | 97.00000 | KG | 20160719 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121375457 | 12137545 | 1 | PS | DETROL LA | TOLTERODINE TARTRATE | 1 | Oral | 4 MG, 1X/DAY | C150009 | 21228 | 4 | MG | MODIFIED-RELEASE CAPSULE, SOFT | QD | |||||
| 121375457 | 12137545 | 2 | SS | DETROL LA | TOLTERODINE TARTRATE | 1 | 4 MG, 1X/DAY | C150312 | 21228 | 4 | MG | MODIFIED-RELEASE CAPSULE, SOFT | QD | ||||||
| 121375457 | 12137545 | 3 | SS | DETROL LA | TOLTERODINE TARTRATE | 1 | UNK, 2X/DAY | 21228 | MODIFIED-RELEASE CAPSULE, SOFT | BID | |||||||||
| 121375457 | 12137545 | 4 | C | CARTIA XT | DILTIAZEM HYDROCHLORIDE | 1 | Oral | 240 MG, 1X/DAY | 0 | 240 | MG | CAPSULE | QD | ||||||
| 121375457 | 12137545 | 5 | C | HYDRALAZINE | HYDRALAZINE HYDROCHLORIDE | 1 | Oral | 100 MG, 2X/DAY | 0 | 100 | MG | TABLET | BID | ||||||
| 121375457 | 12137545 | 6 | C | CLONIDINE HCL | CLONIDINE HYDROCHLORIDE | 1 | 0.8 MG, (2 TABLETS BY MOUTH EVERY MORNING, 1 AT NOON AND 1 AT BEDTIME) | 0 | 4 | DF | TABLET | ||||||||
| 121375457 | 12137545 | 7 | C | BABY ASPIRIN | ASPIRIN | 1 | 81 MG, UNK | 0 | 81 | MG | |||||||||
| 121375457 | 12137545 | 8 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 500 MG, UNK | 0 | 500 | MG | TABLET | |||||||
| 121375457 | 12137545 | 9 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 850 MG, 3X/DAY | 0 | 850 | MG | TABLET | TID | ||||||
| 121375457 | 12137545 | 10 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | UNK | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121375457 | 12137545 | 1 | Micturition urgency |
| 121375457 | 12137545 | 2 | Urinary incontinence |
| 121375457 | 12137545 | 4 | Blood pressure abnormal |
| 121375457 | 12137545 | 5 | Blood pressure abnormal |
| 121375457 | 12137545 | 6 | Blood pressure abnormal |
| 121375457 | 12137545 | 7 | Cardiac disorder |
| 121375457 | 12137545 | 8 | Blood glucose abnormal |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121375457 | 12137545 | Arthralgia | |
| 121375457 | 12137545 | Fatigue | |
| 121375457 | 12137545 | Malaise | |
| 121375457 | 12137545 | Product use issue | |
| 121375457 | 12137545 | Stress |
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 |
|---|---|---|---|---|---|---|
| 121375457 | 12137545 | 1 | 20150815 | 0 | ||
| 121375457 | 12137545 | 2 | 201603 | 0 |