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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123938752 | 12393875 | 2 | F | 20160517 | 20160523 | 20160926 | PER | US-PFIZER INC-2016265074 | PFIZER | 52.00 | YR | F | Y | 0.00000 | 20160926 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123938752 | 12393875 | 1 | PS | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | UNK | U | 50007 | ||||||||||
| 123938752 | 12393875 | 2 | SS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | UNK | U | 0 | INHALATION POWDER | |||||||||
| 123938752 | 12393875 | 3 | SS | DIPHENHYDRAMINE HCL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | UNK | U | 40140 | ||||||||||
| 123938752 | 12393875 | 4 | SS | PAXIL | PAROXETINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 123938752 | 12393875 | 5 | SS | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 123938752 | 12393875 | 6 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | UNK | U | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123938752 | 12393875 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |