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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125556501 | 12555650 | 1 | I | 20160617 | 20160714 | 20160714 | PER | US-PFIZER INC-2016308869 | PFIZER | 65.00 | YR | F | Y | 0.00000 | 20160714 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125556501 | 12555650 | 1 | PS | CLEOCIN | CLINDAMYCIN PHOSPHATE | 1 | UNK | 50441 | |||||||||||
| 125556501 | 12555650 | 2 | SS | BENZYLPENICILLIN POTASSIUM | PENICILLIN G POTASSIUM | 1 | UNK | 60657 | |||||||||||
| 125556501 | 12555650 | 3 | SS | TALWIN | PENTAZOCINE LACTATE | 1 | UNK | 16194 | SOLUTION FOR INJECTION | ||||||||||
| 125556501 | 12555650 | 4 | SS | CODEINE PHOSPHATE | CODEINE PHOSPHATE | 1 | UNK | 0 | |||||||||||
| 125556501 | 12555650 | 5 | SS | DURAGESIC | FENTANYL | 1 | UNK | 0 | |||||||||||
| 125556501 | 12555650 | 6 | SS | BACLOFEN. | BACLOFEN | 1 | UNK | 0 | |||||||||||
| 125556501 | 12555650 | 7 | SS | TICLID | TICLOPIDINE HYDROCHLORIDE | 1 | UNK | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125556501 | 12555650 | Drug hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 125556501 | 12555650 | 1 | 20001231 | 0 | ||
| 125556501 | 12555650 | 2 | 20001231 | 0 | ||
| 125556501 | 12555650 | 3 | 20001231 | 0 | ||
| 125556501 | 12555650 | 4 | 20001231 | 0 | ||
| 125556501 | 12555650 | 5 | 20001231 | 0 | ||
| 125556501 | 12555650 | 6 | 20001231 | 0 | ||
| 125556501 | 12555650 | 7 | 20001231 | 0 |