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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126074151 | 12607415 | 1 | I | 20160602 | 20160721 | 20160729 | 20160729 | EXP | FR-PFIZER INC-2016355830 | PFIZER | 86.00 | YR | M | Y | 0.00000 | 20160729 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126074151 | 12607415 | 1 | PS | Fragmine | DALTEPARIN SODIUM | 1 | Subcutaneous | 1 DF, 1X/DAY | 7 | DF | Y | 20287 | 1 | DF | SOLUTION FOR INJECTION | QD | |||
| 126074151 | 12607415 | 2 | SS | MEMANTINE MYLAN | MEMANTINE | 1 | Oral | 5 MG, 1X/DAY | 15 | MG | Y | N | 0 | 5 | MG | QD | |||
| 126074151 | 12607415 | 3 | C | DOLIPRANE | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 126074151 | 12607415 | 4 | C | MOVICOL | POLYETHYLENE GLYCOL 3350POTASSIUM CHLORIDESODIUM BICARBONATESODIUM CHLORIDE | 1 | 0 | ||||||||||||
| 126074151 | 12607415 | 5 | C | SERESTA | OXAZEPAM | 1 | 0 | TABLET | |||||||||||
| 126074151 | 12607415 | 6 | C | RISPERDAL | RISPERIDONE | 1 | 0 | ORODISPERSIBLE TABLET | |||||||||||
| 126074151 | 12607415 | 7 | C | ACIDE FOLIQUE | FOLIC ACID | 1 | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126074151 | 12607415 | 1 | Thrombosis prophylaxis |
| 126074151 | 12607415 | 2 | Dementia Alzheimer's type |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126074151 | 12607415 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126074151 | 12607415 | Citrobacter infection | |
| 126074151 | 12607415 | Cystitis | |
| 126074151 | 12607415 | Haematuria |
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 |
|---|---|---|---|---|---|---|
| 126074151 | 12607415 | 1 | 20160527 | 20160602 | 0 | |
| 126074151 | 12607415 | 2 | 20160531 | 20160603 | 0 |