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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126140231 | 12614023 | 1 | I | 20160728 | 20160802 | 20160802 | PER | US-PFIZER INC-2016369074 | PFIZER | 55.00 | YR | F | Y | 0.00000 | 20160802 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126140231 | 12614023 | 1 | PS | PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | UNK | U | 11839 | TABLET | |||||||||
| 126140231 | 12614023 | 2 | SS | ERYTHROMYCIN. | ERYTHROMYCIN | 1 | UNK | U | 50609 | ||||||||||
| 126140231 | 12614023 | 3 | SS | SULFADIAZINE. | SULFADIAZINE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 4 | SS | NORTRIPTYLINE | NORTRIPTYLINE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 5 | SS | IODINE. | IODINE | 1 | Topical | UNK | U | 0 | |||||||||
| 126140231 | 12614023 | 6 | SS | IMMUNE GLOBULIN | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | UNK | U | 0 | |||||||||
| 126140231 | 12614023 | 7 | SS | THIMEROSAL | THIMEROSAL | 1 | Topical | UNK | U | 0 | |||||||||
| 126140231 | 12614023 | 8 | SS | ALOE VERA | ALOE VERA LEAF | 1 | Topical | UNK | U | 0 | |||||||||
| 126140231 | 12614023 | 9 | SS | BENTYL | DICYCLOMINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 10 | SS | ZOCOR | SIMVASTATIN | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 11 | SS | LIBRAX | CHLORDIAZEPOXIDE HYDROCHLORIDECLIDINIUM BROMIDE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 12 | SS | SCLAVOTEST | TUBERCULIN PURIFIED PROTEIN DERIVATIVE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 13 | SS | BETADINE | POVIDONE-IODINE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 14 | SS | DIOVAN | VALSARTAN | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 15 | SS | REGLAN | METOCLOPRAMIDE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 16 | SS | CARBONYL IRON | IRON | 1 | UNK | U | 0 | ||||||||||
| 126140231 | 12614023 | 17 | SS | NICKEL | NICKEL | 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 |
|---|---|---|---|
| 126140231 | 12614023 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |