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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122089262 | 12208926 | 2 | F | 201304 | 20160818 | 20160324 | 20160823 | EXP | US-PFIZER INC-2016174478 | PFIZER | 30.00 | YR | M | Y | 0.00000 | 20160823 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122089262 | 12208926 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK, AS PRESCRIBED | U | 85635 | SOLUTION FOR INJECTION | |||||||||
| 122089262 | 12208926 | 2 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, AS PRESCRIBED | U | 0 | ||||||||||
| 122089262 | 12208926 | 3 | C | OXYCODONE | OXYCODONE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122089262 | 12208926 | 1 | Hormone replacement therapy |
| 122089262 | 12208926 | 2 | Hormone replacement therapy |
| 122089262 | 12208926 | 3 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122089262 | 12208926 | HO |
| 122089262 | 12208926 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122089262 | 12208926 | Deep vein thrombosis | |
| 122089262 | 12208926 | Pain in extremity | |
| 122089262 | 12208926 | Pulmonary embolism |
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 |
|---|---|---|---|---|---|---|
| 122089262 | 12208926 | 1 | 201302 | 201303 | 0 | |
| 122089262 | 12208926 | 2 | 201009 | 201109 | 0 | |
| 122089262 | 12208926 | 3 | 200410 | 201305 | 0 |