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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122829494 | 12282949 | 4 | F | 20160409 | 20160719 | 20160419 | 20160801 | PER | US-PFIZER INC-2016208198 | PFIZER | 42.00 | YR | M | Y | 89.00000 | KG | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122829494 | 12282949 | 1 | PS | TIKOSYN | DOFETILIDE | 1 | Oral | 125 UG, 2X/DAY | 20931 | 125 | UG | CAPSULE, HARD | BID | ||||||
| 122829494 | 12282949 | 2 | SS | TIKOSYN | DOFETILIDE | 1 | Oral | 125 UG, 2X/DAY | N12132 | 20931 | 125 | UG | CAPSULE, HARD | BID | |||||
| 122829494 | 12282949 | 3 | C | METOPROLOL. | METOPROLOL | 1 | 25 MG | 0 | 25 | MG | |||||||||
| 122829494 | 12282949 | 4 | C | METOPROLOL. | METOPROLOL | 1 | Oral | 75 MG, 2X/DAY | 0 | 75 | MG | BID | |||||||
| 122829494 | 12282949 | 5 | C | METOPROLOL. | METOPROLOL | 1 | Oral | 50 MG, 1X/DAY | 0 | 50 | MG | QD | |||||||
| 122829494 | 12282949 | 6 | C | WARFARIN | WARFARIN | 1 | UNK, DAILY | 0 | TABLET | ||||||||||
| 122829494 | 12282949 | 7 | C | WARFARIN | WARFARIN | 1 | UNK (TAKES 10MG ON TUESDAY, THURSDAY, AND SATURDAY TAKES 5MG ON MONDAY,WED, FRI AND SUNDAY) | 0 | TABLET | ||||||||||
| 122829494 | 12282949 | 8 | C | WARFARIN | WARFARIN | 1 | 5 MG, DAILY, (TAKE 10 MG TUES AND THURS AND 5 MG ALL OTHER DAYS.) | 0 | 5 | MG | TABLET | ||||||||
| 122829494 | 12282949 | 9 | C | LORAZEPAM. | LORAZEPAM | 1 | Oral | 1 MG, 2X/DAY | 0 | 1 | MG | TABLET | BID | ||||||
| 122829494 | 12282949 | 10 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | Nasal | UNK, 1X/DAY (1 SQUIRT IN EACH NOSTRIL) | 0 | NASAL SPRAY, SUSPENSION | QD | ||||||||
| 122829494 | 12282949 | 11 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | 50 UG, UNK | 0 | 50 | UG | NASAL SPRAY, SUSPENSION | ||||||||
| 122829494 | 12282949 | 12 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 2 DF, 1X/DAY (AT NIGHT) | 0 | 2 | DF | TABLET | QD | ||||||
| 122829494 | 12282949 | 13 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | Oral | 2 DF, 1X/DAY | 0 | 2 | DF | QD | |||||||
| 122829494 | 12282949 | 14 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | Oral | 25 MG, UNK | 0 | 25 | MG | PROLONGED-RELEASE TABLET | |||||||
| 122829494 | 12282949 | 15 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | Oral | 75 MG, DAILY, (DO NOT CRUSH OR CHEW) | 0 | 75 | MG | PROLONGED-RELEASE TABLET | |||||||
| 122829494 | 12282949 | 16 | C | AMOXICILLIN. | AMOXICILLIN | 1 | Oral | 875 MG, 2X/DAY, (TAKE ONE IN THE EVENING OF 4/19, THEN 2 EACH DAY AFTERWARD UNTIL YOU RUN OUT.) | 0 | 875 | MG | TABLET | BID | ||||||
| 122829494 | 12282949 | 17 | C | HYDROXYZINE HCL | HYDROXYZINE HYDROCHLORIDE | 1 | Oral | 25 MG, AS NEEDED, (25 MG BY MOUTH EVERY 8) | 0 | 25 | MG | TABLET | |||||||
| 122829494 | 12282949 | 18 | C | ATIVAN | LORAZEPAM | 1 | 1 MG, 2X/DAY | 0 | 1 | MG | BID | ||||||||
| 122829494 | 12282949 | 19 | C | PROBIOTIC | PROBIOTICS NOS | 1 | 1 DF, DAILY | 0 | 1 | DF | CAPSULE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122829494 | 12282949 | 1 | Atrial flutter |
| 122829494 | 12282949 | 3 | Arrhythmia |
| 122829494 | 12282949 | 4 | Heart rate |
| 122829494 | 12282949 | 6 | Blood disorder |
| 122829494 | 12282949 | 7 | Anticoagulant therapy |
| 122829494 | 12282949 | 8 | Atrial flutter |
| 122829494 | 12282949 | 9 | Anxiety |
| 122829494 | 12282949 | 10 | Hypersensitivity |
| 122829494 | 12282949 | 12 | Sleep disorder |
| 122829494 | 12282949 | 13 | Supplementation therapy |
| 122829494 | 12282949 | 14 | Atrial flutter |
| 122829494 | 12282949 | 16 | Sinusitis |
| 122829494 | 12282949 | 18 | Anxiety |
| 122829494 | 12282949 | 19 | Gastrointestinal disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122829494 | 12282949 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122829494 | 12282949 | Anxiety | |
| 122829494 | 12282949 | Atrial flutter | |
| 122829494 | 12282949 | Cyst | |
| 122829494 | 12282949 | Dizziness | |
| 122829494 | 12282949 | Ear infection | |
| 122829494 | 12282949 | Influenza | |
| 122829494 | 12282949 | Sinusitis | |
| 122829494 | 12282949 | Ventricular tachycardia |
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 |
|---|---|---|---|---|---|---|
| 122829494 | 12282949 | 1 | 20160318 | 0 | ||
| 122829494 | 12282949 | 2 | 20160416 | 0 | ||
| 122829494 | 12282949 | 3 | 201603 | 0 | ||
| 122829494 | 12282949 | 4 | 201603 | 0 | ||
| 122829494 | 12282949 | 5 | 201603 | 0 | ||
| 122829494 | 12282949 | 6 | 201603 | 0 |