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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123182842 | 12318284 | 2 | F | 20131202 | 20160711 | 20160429 | 20160714 | EXP | US-PFIZER INC-2016231676 | PFIZER | 58.00 | YR | M | Y | 0.00000 | 20160714 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123182842 | 12318284 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK, EVERY 3 WEEKS | 85635 | SOLUTION FOR INJECTION | Q3W | |||||||||
| 123182842 | 12318284 | 2 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, EVERY 3 WEEKS | 0 | Q3W | ||||||||||
| 123182842 | 12318284 | 3 | C | WARFARIN | WARFARIN | 1 | UNK | 0 | |||||||||||
| 123182842 | 12318284 | 4 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123182842 | 12318284 | 1 | Hormone replacement therapy |
| 123182842 | 12318284 | 2 | Hormone replacement therapy |
| 123182842 | 12318284 | 3 | Thrombosis prophylaxis |
| 123182842 | 12318284 | 4 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123182842 | 12318284 | OT |
| 123182842 | 12318284 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123182842 | 12318284 | Deep vein thrombosis | |
| 123182842 | 12318284 | 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 |
|---|---|---|---|---|---|---|
| 123182842 | 12318284 | 1 | 20130727 | 20131007 | 0 | |
| 123182842 | 12318284 | 2 | 20130213 | 20130814 | 0 | |
| 123182842 | 12318284 | 3 | 2012 | 0 | ||
| 123182842 | 12318284 | 4 | 2012 | 0 |