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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124888852 | 12488885 | 2 | F | 201407 | 20160812 | 20160622 | 20160817 | EXP | US-PFIZER INC-2016301522 | PFIZER | 61.00 | YR | M | Y | 0.00000 | 20160817 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124888852 | 12488885 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | 1 ML, WEEKLY (ONCE PER WEEK) | U | 85635 | 1 | ML | SOLUTION FOR INJECTION | /wk | ||||||
| 124888852 | 12488885 | 2 | SS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | 1 ML, WEEKLY (ONCE PER WEEK) | U | 85635 | 1 | ML | SOLUTION FOR INJECTION | /wk | ||||||
| 124888852 | 12488885 | 3 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | 1 ML, EVERY 2 WEEKS | U | 0 | 1 | ML | ||||||||
| 124888852 | 12488885 | 4 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | 1 ML, EVERY 2 WEEKS | U | 0 | 1 | ML | ||||||||
| 124888852 | 12488885 | 5 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | 0.5 ML, WEEKLY (ONCE PER WEEK) | U | 0 | .5 | ML | /wk | |||||||
| 124888852 | 12488885 | 6 | SS | ANDROGEL | TESTOSTERONE | 1 | 6 PUMPS, DAILY (1%) | U | 0 | ||||||||||
| 124888852 | 12488885 | 7 | SS | ANDROGEL | TESTOSTERONE | 1 | 5 G, DAILY (EVERY MORNING, 1%) | U | 0 | 5 | G | ||||||||
| 124888852 | 12488885 | 8 | SS | ANDROGEL | TESTOSTERONE | 1 | 2 PUMPS, DAILY (1.62 %) | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124888852 | 12488885 | 1 | Hormone replacement therapy |
| 124888852 | 12488885 | 3 | Hormone replacement therapy |
| 124888852 | 12488885 | 6 | Hormone replacement therapy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124888852 | 12488885 | HO |
| 124888852 | 12488885 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124888852 | 12488885 | Amnesia | |
| 124888852 | 12488885 | Cerebrovascular accident | |
| 124888852 | 12488885 | Drooling | |
| 124888852 | 12488885 | Facial paralysis |
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 |
|---|---|---|---|---|---|---|
| 124888852 | 12488885 | 1 | 20130804 | 20131006 | 0 | |
| 124888852 | 12488885 | 2 | 20140105 | 20140309 | 0 | |
| 124888852 | 12488885 | 3 | 20090202 | 20091102 | 0 | |
| 124888852 | 12488885 | 4 | 20091015 | 20100715 | 0 | |
| 124888852 | 12488885 | 5 | 20140210 | 20140726 | 0 | |
| 124888852 | 12488885 | 6 | 20090918 | 20091008 | 0 | |
| 124888852 | 12488885 | 7 | 20110425 | 20110525 | 0 | |
| 124888852 | 12488885 | 8 | 20110321 | 20121002 | 0 |