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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126347191 | 12634719 | 1 | I | 20160726 | 20160808 | 20160808 | PER | US-PFIZER INC-2016364510 | PFIZER | 63.00 | YR | F | Y | 67.58000 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126347191 | 12634719 | 1 | PS | TIKOSYN | DOFETILIDE | 1 | 250 UG, 2X/DAY | 20931 | 250 | UG | CAPSULE, HARD | BID | |||||||
| 126347191 | 12634719 | 2 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | 10 MG, 1X/DAY (QHS) | 0 | 10 | MG | QD | ||||||||
| 126347191 | 12634719 | 3 | C | WARFARIN | WARFARIN | 1 | DAILY(AS DIRECTED) | 0 | |||||||||||
| 126347191 | 12634719 | 4 | C | DILTIAZEM. | DILTIAZEM | 1 | 350 MG, DAILY | 0 | 350 | MG | |||||||||
| 126347191 | 12634719 | 5 | C | VITAMIN D | CHOLECALCIFEROL | 1 | UNK | 0 | |||||||||||
| 126347191 | 12634719 | 6 | C | MAGNESIUM OXIDE. | MAGNESIUM OXIDE | 1 | 400 MG, 2X/DAY | 0 | 400 | MG | BID | ||||||||
| 126347191 | 12634719 | 7 | C | ATORVASTATIN | ATORVASTATIN | 1 | 20 MG, DAILY | 0 | 20 | MG | |||||||||
| 126347191 | 12634719 | 8 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | 20 MG, 2X/DAY | 0 | 20 | MG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126347191 | 12634719 | 1 | Arrhythmia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126347191 | 12634719 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126347191 | 12634719 | Asthenia | |
| 126347191 | 12634719 | Atrial fibrillation | |
| 126347191 | 12634719 | Fatigue | |
| 126347191 | 12634719 | Hypoaesthesia | |
| 126347191 | 12634719 | Supraventricular extrasystoles | |
| 126347191 | 12634719 | Tachycardia |
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 |
|---|---|---|---|---|---|---|
| 126347191 | 12634719 | 1 | 20140422 | 0 |