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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125004382 | 12500438 | 2 | F | 20110623 | 20160919 | 20160627 | 20160922 | PER | US-PFIZER INC-2016315265 | PFIZER | 49.00 | YR | M | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125004382 | 12500438 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK | U | 85635 | SOLUTION FOR INJECTION | |||||||||
| 125004382 | 12500438 | 2 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, WEEKLY | U | 0 | /wk | |||||||||
| 125004382 | 12500438 | 3 | SS | ANDROGEL | TESTOSTERONE | 1 | UNK, DAILY | U | 0 | ||||||||||
| 125004382 | 12500438 | 4 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 125004382 | 12500438 | 5 | C | XANAX | ALPRAZOLAM | 1 | UNK | 0 | |||||||||||
| 125004382 | 12500438 | 6 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 125004382 | 12500438 | 7 | C | TRAMADOL. | TRAMADOL | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125004382 | 12500438 | 1 | Hormone replacement therapy |
| 125004382 | 12500438 | 2 | Hormone replacement therapy |
| 125004382 | 12500438 | 3 | Hormone replacement therapy |
| 125004382 | 12500438 | 4 | Muscle spasms |
| 125004382 | 12500438 | 5 | Anxiety |
| 125004382 | 12500438 | 6 | Insomnia |
| 125004382 | 12500438 | 7 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125004382 | 12500438 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125004382 | 12500438 | Deep vein 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 |
|---|---|---|---|---|---|---|
| 125004382 | 12500438 | 1 | 20110413 | 20120820 | 0 | |
| 125004382 | 12500438 | 2 | 201104 | 201208 | 0 | |
| 125004382 | 12500438 | 3 | 201401 | 201504 | 0 | |
| 125004382 | 12500438 | 4 | 1988 | 0 | ||
| 125004382 | 12500438 | 5 | 2001 | 0 | ||
| 125004382 | 12500438 | 7 | 2005 | 2015 | 0 |