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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557771 | 12655777 | 1 | I | 20160810 | 20160816 | 20160816 | PER | US-PFIZER INC-2016384374 | PFIZER | 70.00 | YR | F | Y | 0.00000 | 20160816 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557771 | 12655777 | 1 | PS | ERYTHROMYCIN. | ERYTHROMYCIN | 1 | UNK | U | 50609 | ||||||||||
| 126557771 | 12655777 | 2 | SS | INDERAL | PROPRANOLOL HYDROCHLORIDE | 1 | UNK | U | 16418 | TABLET | |||||||||
| 126557771 | 12655777 | 3 | SS | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | UNK | U | 50007 | ||||||||||
| 126557771 | 12655777 | 4 | SS | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | UNK | U | 19999 | ||||||||||
| 126557771 | 12655777 | 5 | SS | ACETYLSALICYLIC ACID | ASPIRIN | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 6 | SS | NOVOCAIN | PROCAINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 7 | SS | SOMA | CARISOPRODOL | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 8 | SS | TYLOX | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 9 | SS | TANDERIL | OXYPHENBUTAZONE | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 10 | SS | MINOCYCLINE | MINOCYCLINEMINOCYCLINE HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 126557771 | 12655777 | 11 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 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 |
|---|---|---|---|
| 126557771 | 12655777 | Drug hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 126557771 | 12655777 | 1 | 20051021 | 0 | ||
| 126557771 | 12655777 | 2 | 20051021 | 0 | ||
| 126557771 | 12655777 | 3 | 20051021 | 0 | ||
| 126557771 | 12655777 | 4 | 20051021 | 0 | ||
| 126557771 | 12655777 | 5 | 20051021 | 0 | ||
| 126557771 | 12655777 | 6 | 20051021 | 0 | ||
| 126557771 | 12655777 | 7 | 20051021 | 0 | ||
| 126557771 | 12655777 | 8 | 20051021 | 0 | ||
| 126557771 | 12655777 | 9 | 20051021 | 0 | ||
| 126557771 | 12655777 | 10 | 20051021 | 0 | ||
| 126557771 | 12655777 | 11 | 20051021 | 0 |