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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126228841 | 12622884 | 1 | I | 20130720 | 20160729 | 20160804 | 20160804 | EXP | US-PFIZER INC-2016370214 | PFIZER | 54.00 | YR | M | Y | 0.00000 | 20160804 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126228841 | 12622884 | 1 | PS | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | UNK | U | 85635 | SOLUTION FOR INJECTION | |||||||||
| 126228841 | 12622884 | 2 | SS | DELATESTRYL | TESTOSTERONE ENANTHATE | 1 | UNK, ONCE EVERY 2 WEEKS | U | 0 | ||||||||||
| 126228841 | 12622884 | 3 | SS | DELATESTRYL | TESTOSTERONE ENANTHATE | 1 | U | 0 | |||||||||||
| 126228841 | 12622884 | 4 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | UNK, ONCE EVERY 2 WEEKS | U | 0 | ||||||||||
| 126228841 | 12622884 | 5 | SS | TESTOSTERONE CYPIONATE. | TESTOSTERONE CYPIONATE | 1 | U | 0 | |||||||||||
| 126228841 | 12622884 | 6 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | UNK | 0 | |||||||||||
| 126228841 | 12622884 | 7 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | UNK | 0 | |||||||||||
| 126228841 | 12622884 | 8 | C | VIAGRA | SILDENAFIL CITRATE | 1 | UNK | 0 | |||||||||||
| 126228841 | 12622884 | 9 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | UNK | 0 | |||||||||||
| 126228841 | 12622884 | 10 | C | ATORVASTATIN | ATORVASTATIN | 1 | UNK | 0 | |||||||||||
| 126228841 | 12622884 | 11 | C | PRAVASTATIN. | PRAVASTATIN | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126228841 | 12622884 | 1 | Hormone replacement therapy |
| 126228841 | 12622884 | 2 | Hormone replacement therapy |
| 126228841 | 12622884 | 3 | Blood testosterone decreased |
| 126228841 | 12622884 | 4 | Hormone replacement therapy |
| 126228841 | 12622884 | 5 | Blood testosterone decreased |
| 126228841 | 12622884 | 6 | Hypothyroidism |
| 126228841 | 12622884 | 7 | Dyspepsia |
| 126228841 | 12622884 | 8 | Erectile dysfunction |
| 126228841 | 12622884 | 9 | Hypothyroidism |
| 126228841 | 12622884 | 10 | Blood cholesterol increased |
| 126228841 | 12622884 | 11 | Blood cholesterol increased |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126228841 | 12622884 | OT |
| 126228841 | 12622884 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126228841 | 12622884 | Chills | |
| 126228841 | 12622884 | Depressed level of consciousness | |
| 126228841 | 12622884 | Dizziness | |
| 126228841 | 12622884 | Pain in extremity | |
| 126228841 | 12622884 | Peripheral swelling | |
| 126228841 | 12622884 | Pulmonary embolism |
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 |
|---|---|---|---|---|---|---|
| 126228841 | 12622884 | 1 | 2010 | 20130802 | 0 | |
| 126228841 | 12622884 | 2 | 20100524 | 20130802 | 0 | |
| 126228841 | 12622884 | 4 | 20110106 | 20110920 | 0 | |
| 126228841 | 12622884 | 6 | 20100123 | 0 | ||
| 126228841 | 12622884 | 7 | 20101130 | 20131118 | 0 | |
| 126228841 | 12622884 | 8 | 20110121 | 20131106 | 0 | |
| 126228841 | 12622884 | 9 | 20110318 | 0 | ||
| 126228841 | 12622884 | 10 | 20120118 | 0 | ||
| 126228841 | 12622884 | 11 | 20130125 | 20131229 | 0 |