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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126047551 | 12604755 | 1 | I | 20160718 | 20160728 | 20160728 | PER | US-PFIZER INC-2016351217 | PFIZER | 73.00 | YR | Y | 0.00000 | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126047551 | 12604755 | 1 | PS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | UNK | U | 20699 | TABLET | |||||||||
| 126047551 | 12604755 | 2 | SS | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | UNK | U | 21260 | PROLONGED-RELEASE CAPSULE | |||||||||
| 126047551 | 12604755 | 3 | SS | OXYCODONE | OXYCODONE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 4 | SS | SERTRALINE HCL | SERTRALINE HYDROCHLORIDE | 1 | UNK | U | 19839 | ||||||||||
| 126047551 | 12604755 | 5 | SS | CODEINE | CODEINE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 6 | SS | LISINOPRIL. | LISINOPRIL | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 7 | SS | AMBIEN | ZOLPIDEM TARTRATE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 8 | SS | BUPROPION. | BUPROPION | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 9 | SS | IODIDE | IODINE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 10 | SS | LEXAPRO | ESCITALOPRAM OXALATE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 11 | SS | PHENOTHIAZINE | PHENOTHIAZINE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 12 | SS | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 13 | SS | REMERON | MIRTAZAPINE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 14 | SS | RISPERDAL | RISPERIDONE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 15 | SS | SUCRALFATE. | SUCRALFATE | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 16 | SS | VALIUM | DIAZEPAM | 1 | UNK | U | 0 | ||||||||||
| 126047551 | 12604755 | 17 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | UNK | U | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126047551 | 12604755 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |