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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126036631 | 12603663 | 1 | I | 201301 | 20160105 | 20160728 | 20160728 | PER | US-PFIZER INC-2016005112 | PFIZER | 51.00 | YR | M | Y | 0.00000 | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126036631 | 12603663 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK, WEEKLY (ONCE A WEEK FOR SIX WEEKS) | U | 85635 | SOLUTION FOR INJECTION | /wk | ||||||||
| 126036631 | 12603663 | 2 | SS | FORTESTA | TESTOSTERONE | 1 | UNK, 1X/DAY (ONCE DAILY TWO SQUIRTS) | U | 0 | GEL | QD | ||||||||
| 126036631 | 12603663 | 3 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | 1 DF, WEEKLY (PER WEEK FOR SIX WEEKS) | U | 0 | 1 | DF | INJECTION | /wk | ||||||
| 126036631 | 12603663 | 4 | C | ATENOLOL. | ATENOLOL | 1 | UNK | 0 | |||||||||||
| 126036631 | 12603663 | 5 | C | GABAPENTIN. | GABAPENTIN | 1 | UNK | 0 | |||||||||||
| 126036631 | 12603663 | 6 | C | AMITRIPTYLENE | AMITRIPTYLINE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126036631 | 12603663 | 1 | Hormone replacement therapy |
| 126036631 | 12603663 | 2 | Hormone replacement therapy |
| 126036631 | 12603663 | 3 | Hormone replacement therapy |
| 126036631 | 12603663 | 4 | Blood pressure abnormal |
| 126036631 | 12603663 | 5 | Neuralgia |
| 126036631 | 12603663 | 6 | Sleep disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126036631 | 12603663 | OT |
| 126036631 | 12603663 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126036631 | 12603663 | Cardiac disorder | |
| 126036631 | 12603663 | Myocardial infarction |
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 |
|---|---|---|---|---|---|---|
| 126036631 | 12603663 | 1 | 201205 | 2012 | 0 | |
| 126036631 | 12603663 | 2 | 201206 | 0 | ||
| 126036631 | 12603663 | 3 | 201301 | 2013 | 0 | |
| 126036631 | 12603663 | 4 | 2000 | 2016 | 0 | |
| 126036631 | 12603663 | 5 | 2012 | 2016 | 0 | |
| 126036631 | 12603663 | 6 | 2012 | 2016 | 0 |