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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126439921 | 12643992 | 1 | I | 20160407 | 20160802 | 20160811 | 20160811 | EXP | FR-PFIZER INC-2016371560 | PFIZER | 83.00 | YR | M | Y | 0.00000 | 20160811 | OT | FR | FR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126439921 | 12643992 | 1 | PS | Fragmine | DALTEPARIN SODIUM | 1 | Subcutaneous | 0.2 ML, 1X/DAY | 2 | ML | Y | 20287 | .2 | ML | SOLUTION FOR INJECTION | QD | |||
126439921 | 12643992 | 2 | C | COOLMETEC | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | 0 | ||||||||||||
126439921 | 12643992 | 3 | C | LERCAN | LERCANIDIPINE | 1 | 0 | ||||||||||||
126439921 | 12643992 | 4 | C | UROREC | SILODOSIN | 1 | 0 | ||||||||||||
126439921 | 12643992 | 5 | C | PARIET | RABEPRAZOLE SODIUM | 1 | 0 | ||||||||||||
126439921 | 12643992 | 6 | C | URISPAS | FLAVOXATE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
no results found |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126439921 | 12643992 | HO |
126439921 | 12643992 | LT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126439921 | 12643992 | Anaemia | |
126439921 | 12643992 | Gastrointestinal haemorrhage | |
126439921 | 12643992 | Shock haemorrhagic |
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 |
---|---|---|---|---|---|---|
126439921 | 12643992 | 1 | 20160331 | 20160408 | 0 |