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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125706621 | 12570662 | 1 | I | 20160625 | 20160706 | 20160719 | 20160719 | PER | US-PFIZER INC-2016335440 | PFIZER | 82.00 | YR | M | Y | 122.00000 | KG | 20160719 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125706621 | 12570662 | 1 | PS | TIKOSYN | DOFETILIDE | 1 | 250UG MORNING, 500UG EVENING | 20931 | 750 | UG | CAPSULE, HARD | ||||||||
| 125706621 | 12570662 | 2 | SS | TIKOSYN | DOFETILIDE | 1 | 500 UG, 2X/DAY | 20931 | 500 | UG | CAPSULE, HARD | BID | |||||||
| 125706621 | 12570662 | 3 | C | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 100 IU, UNK | 0 | 100 | IU | ||||||||
| 125706621 | 12570662 | 4 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 20 MG, 2X/DAY | 0 | 20 | MG | BID | ||||||||
| 125706621 | 12570662 | 5 | C | METOPROLOL SUCCINATE. | METOPROLOL SUCCINATE | 1 | 50 MG, 1X/DAY | 0 | 50 | MG | QD | ||||||||
| 125706621 | 12570662 | 6 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 40 MG, 1X/DAY | 0 | 40 | MG | QD | ||||||||
| 125706621 | 12570662 | 7 | C | POTASSIUM | POTASSIUM | 1 | 20 MEQ, 1X/DAY | 0 | 20 | MEQ | QD | ||||||||
| 125706621 | 12570662 | 8 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | 75 MG, 1X/DAY | 0 | 75 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125706621 | 12570662 | 1 | Ventricular tachycardia |
| 125706621 | 12570662 | 3 | Diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125706621 | 12570662 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125706621 | 12570662 | Ventricular tachycardia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |