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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126304991 | 12630499 | 1 | I | 20160712 | 20160808 | 20160808 | PER | US-PFIZER INC-2016342619 | PFIZER | 0.00 | F | Y | 0.00000 | 20160808 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126304991 | 12630499 | 1 | PS | HEPARIN SODIUM. | HEPARIN SODIUM | 1 | UNK | U | 89522 | SOLUTION FOR INJECTION | |||||||||
| 126304991 | 12630499 | 2 | SS | PROCARDIA | NIFEDIPINE | 1 | UNK | U | 18482 | CAPSULE, SOFT | |||||||||
| 126304991 | 12630499 | 3 | SS | CODEINE | CODEINE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 4 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 5 | SS | BETADINE | POVIDONE-IODINE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 6 | SS | CLONIDINE. | CLONIDINE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 7 | SS | IODINE. | IODINE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 8 | SS | NEORAL | CYCLOSPORINE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 9 | SS | OXYCODONE | OXYCODONE | 1 | UNK | U | 0 | ||||||||||
| 126304991 | 12630499 | 10 | SS | TEGADERM AG MESH | 2-HYDROXYETHYL METHACRYLATE | 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 |
|---|---|---|---|
| 126304991 | 12630499 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |