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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124751512 | 12475151 | 2 | F | 20160912 | 20160617 | 20160915 | PER | US-PFIZER INC-2016287570 | PFIZER | 63.00 | YR | F | Y | 0.00000 | 20160915 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124751512 | 12475151 | 1 | PS | PREMARIN | ESTROGENS, CONJUGATED | 1 | Oral | 0.3 MG, DAILY (EVERYDAY) | U | 4782 | .3 | MG | TABLET | ||||||
| 124751512 | 12475151 | 2 | SS | AMOXICILLIN. | AMOXICILLIN | 1 | UNK | U | 0 | ||||||||||
| 124751512 | 12475151 | 3 | SS | CARDIZEM | DILTIAZEM HYDROCHLORIDE | 1 | 120 MG, UNK | U | 0 | 120 | MG | ||||||||
| 124751512 | 12475151 | 4 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | 60 MG, UNK | U | 0 | 60 | MG | ||||||||
| 124751512 | 12475151 | 5 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | 50 MG, UNK | U | 0 | 50 | MG | ||||||||
| 124751512 | 12475151 | 6 | SS | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | UNK | U | 0 | ||||||||||
| 124751512 | 12475151 | 7 | SS | TOPAMAX | TOPIRAMATE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124751512 | 12475151 | 1 | Hormone replacement therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124751512 | 12475151 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |