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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126595751 | 12659575 | 1 | I | 1997 | 20160810 | 20160817 | 20160817 | EXP | US-PFIZER INC-2016384712 | PFIZER | 43.00 | YR | F | Y | 78.00000 | KG | 20160817 | CN | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126595751 | 12659575 | 1 | PS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | 180 MG, 2X/DAY | Y | 20699 | 180 | MG | PROLONGED-RELEASE CAPSULE | BID | ||||||
126595751 | 12659575 | 2 | SS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | 200 MG, 2X/DAY | Y | 20699 | 200 | MG | PROLONGED-RELEASE CAPSULE | BID | ||||||
126595751 | 12659575 | 3 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | 40 MG, AS NEEDED | 0 | 40 | MG | CAPSULE | ||||||||
126595751 | 12659575 | 4 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | 40 MG, AS NEEDED | 0 | 40 | MG | CAPSULE | ||||||||
126595751 | 12659575 | 5 | C | LANTUS | INSULIN GLARGINE | 1 | 40 IU, AS NEEDED | 0 | 40 | IU | INJECTION | ||||||||
126595751 | 12659575 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 400 OR 500MG DOSE THREE TIMES A DAY | 0 | TID | ||||||||||
126595751 | 12659575 | 7 | C | VALIUM | DIAZEPAM | 1 | UNK, 3X/DAY | 0 | TID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126595751 | 12659575 | 3 | Abdominal pain upper |
126595751 | 12659575 | 4 | Abdominal pain upper |
126595751 | 12659575 | 5 | Diabetes mellitus |
126595751 | 12659575 | 6 | Diabetes mellitus |
126595751 | 12659575 | 7 | Anxiety |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126595751 | 12659575 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126595751 | 12659575 | Chronic obstructive pulmonary disease | |
126595751 | 12659575 | Diabetes mellitus | |
126595751 | 12659575 | Hypertension | |
126595751 | 12659575 | Overdose | |
126595751 | 12659575 | Renal impairment | |
126595751 | 12659575 | Syncope |
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 |
---|---|---|---|---|---|---|
126595751 | 12659575 | 1 | 1991 | 0 | ||
126595751 | 12659575 | 2 | 2011 | 0 | ||
126595751 | 12659575 | 5 | 1997 | 0 | ||
126595751 | 12659575 | 6 | 1997 | 0 |