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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123064002 | 12306400 | 2 | F | 19860303 | 20160701 | 20160426 | 20160707 | EXP | US-PFIZER INC-2016225500 | PFIZER | 29.00 | YR | M | Y | 0.00000 | 20160707 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123064002 | 12306400 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK, MONTHLY | U | 85635 | SOLUTION FOR INJECTION | /month | ||||||||
| 123064002 | 12306400 | 2 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK | U | 0 | INJECTION | |||||||||
| 123064002 | 12306400 | 3 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK | U | 0 | INJECTION | |||||||||
| 123064002 | 12306400 | 4 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, MONTHLY | U | 0 | /month | |||||||||
| 123064002 | 12306400 | 5 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, MONTHLY | U | 0 | /month |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123064002 | 12306400 | 1 | Hormone replacement therapy |
| 123064002 | 12306400 | 2 | Adrenogenital syndrome |
| 123064002 | 12306400 | 3 | Hormone replacement therapy |
| 123064002 | 12306400 | 4 | Hormone replacement therapy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123064002 | 12306400 | HO |
| 123064002 | 12306400 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123064002 | 12306400 | Cerebrovascular accident | |
| 123064002 | 12306400 | Deep vein thrombosis | |
| 123064002 | 12306400 | General physical health deterioration | |
| 123064002 | 12306400 | Myocardial infarction | |
| 123064002 | 12306400 | Thrombosis |
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 |
|---|---|---|---|---|---|---|
| 123064002 | 12306400 | 1 | 19990419 | 20090608 | 0 | |
| 123064002 | 12306400 | 2 | 1968 | 199811 | 0 | |
| 123064002 | 12306400 | 3 | 201507 | 0 | ||
| 123064002 | 12306400 | 4 | 19981229 | 19991029 | 0 | |
| 123064002 | 12306400 | 5 | 20090727 | 20150607 | 0 |