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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125703292 | 12570329 | 2 | F | 2011 | 20160808 | 20160719 | 20160810 | EXP | US-PFIZER INC-2016348081 | PFIZER | 40.00 | YR | M | Y | 0.00000 | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125703292 | 12570329 | 1 | PS | XANAX | ALPRAZOLAM | 1 | 1 MG, UNK | 18276 | 1 | MG | |||||||||
| 125703292 | 12570329 | 2 | SS | FENTANYL CITRATE. | FENTANYL CITRATE | 1 | 100 MG, UNK | 19115 | 100 | MG | |||||||||
| 125703292 | 12570329 | 3 | SS | AMBIEN | ZOLPIDEM TARTRATE | 1 | 10 MG, UNK | 0 | 10 | MG | |||||||||
| 125703292 | 12570329 | 4 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Oral | 1MG TABLET EACH MORNING AND THREE 1MG TABLETS EVERY EVENING | 0 | TABLET | BID | ||||||||
| 125703292 | 12570329 | 5 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0 | TABLET | |||||||||||
| 125703292 | 12570329 | 6 | C | DIVALPROEX SOD ER | DIVALPROEX SODIUM | 1 | Oral | 500 MG, 3X/DAY, AT BEDTIME | 0 | 500 | MG | TABLET | TID | ||||||
| 125703292 | 12570329 | 7 | C | DIVALPROEX SOD ER | DIVALPROEX SODIUM | 1 | 0 | TABLET | |||||||||||
| 125703292 | 12570329 | 8 | C | HYDROCODONE | HYDROCODONE | 1 | MAXIMUM OF 4 TABLETS DAILY | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125703292 | 12570329 | 4 | Depression |
| 125703292 | 12570329 | 5 | Sleep disorder |
| 125703292 | 12570329 | 6 | Bipolar disorder |
| 125703292 | 12570329 | 7 | Post-traumatic stress disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125703292 | 12570329 | OT |
| 125703292 | 12570329 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125703292 | 12570329 | Fall | |
| 125703292 | 12570329 | Somnambulism | |
| 125703292 | 12570329 | Spinal fracture |
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 |
|---|---|---|---|---|---|---|
| 125703292 | 12570329 | 6 | 2000 | 0 | ||
| 125703292 | 12570329 | 8 | 1990 | 0 |