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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126305131 | 12630513 | 1 | I | 20150305 | 20160808 | 20160808 | PER | US-PFIZER INC-2015087333 | PFIZER | 60.00 | YR | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126305131 | 12630513 | 1 | SS | OXYCODONE | OXYCODONE | 1 | UNK | U | 0 | ||||||||||
| 126305131 | 12630513 | 2 | SS | MACRODANTIN | NITROFURANTOIN | 1 | UNK | U | 0 | ||||||||||
| 126305131 | 12630513 | 3 | PS | VIBRAMYCIN | DOXYCYCLINE | 1 | UNK | U | 50480 | SYRUP | |||||||||
| 126305131 | 12630513 | 4 | SS | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 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 |
|---|---|---|---|
| 126305131 | 12630513 | Drug hypersensitivity | |
| 126305131 | 12630513 | Urticaria |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |