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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126218121 | 12621812 | 1 | I | 20160701 | 20160705 | 20160804 | 20160804 | PER | US-PFIZER INC-2016332559 | PFIZER | 72.00 | YR | M | Y | 107.50000 | KG | 20160804 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126218121 | 12621812 | 1 | PS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | 0.5 ML, SINGLE | 125324 | .5 | ML | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | ||||||||
| 126218121 | 12621812 | 2 | SS | VIAGRA | SILDENAFIL CITRATE | 1 | UNK, AS NEEDED | U | NOT PROVIDED | 20895 | FILM-COATED TABLET | ||||||||
| 126218121 | 12621812 | 3 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | TAPERED DOSE, TOOK 6 TABLETS THE FIRST DAY, 5 TABLETS THE SECOND DAY, AND SO ON | 0 | |||||||||||
| 126218121 | 12621812 | 4 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | 0 | ||||||||||||
| 126218121 | 12621812 | 5 | C | HYCODAN /00060002/ | HYDROCODONE BITARTRATE | 1 | 2 DF, AS NEEDED, 2 TSPS PER DAY AS NEEDED | 0 | 2 | DF | SYRUP | ||||||||
| 126218121 | 12621812 | 6 | C | BENZONATATE. | BENZONATATE | 1 | 800 MG, DAILY, 200MG TABLETS, FOUR A DAY FOR 6 DAYS | 0 | 800 | MG | TABLET | ||||||||
| 126218121 | 12621812 | 7 | C | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | 100 MG, DAILY, 100MG TABLET, ONE A DAY FOR 10 DAYS | 0 | 100 | MG | TABLET | ||||||||
| 126218121 | 12621812 | 8 | C | ASMANEX | MOMETASONE FUROATE | 1 | 4MG TWICE A DAY FOR 5 DAYS | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126218121 | 12621812 | 1 | Immunisation |
| 126218121 | 12621812 | 3 | Cough |
| 126218121 | 12621812 | 4 | Nasal congestion |
| 126218121 | 12621812 | 5 | Cough |
| 126218121 | 12621812 | 6 | Nasal congestion |
| 126218121 | 12621812 | 7 | Nasal congestion |
| 126218121 | 12621812 | 8 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126218121 | 12621812 | Decreased appetite | |
| 126218121 | 12621812 | Fatigue | |
| 126218121 | 12621812 | Headache | |
| 126218121 | 12621812 | Pain in extremity |
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 |
|---|---|---|---|---|---|---|
| 126218121 | 12621812 | 1 | 20160630 | 20160630 | 0 | |
| 126218121 | 12621812 | 3 | 201606 | 201606 | 0 | |
| 126218121 | 12621812 | 5 | 20160609 | 20160612 | 0 | |
| 126218121 | 12621812 | 6 | 20160612 | 201606 | 0 | |
| 126218121 | 12621812 | 7 | 20160612 | 20160622 | 0 | |
| 126218121 | 12621812 | 8 | 20160615 | 201606 | 0 |