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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126615672 | 12661567 | 2 | F | 20160801 | 20160914 | 20160817 | 20160919 | PER | US-PFIZER INC-2016379925 | PFIZER | 88.00 | YR | F | Y | 45.36000 | KG | 20160919 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126615672 | 12661567 | 1 | PS | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 11 MG, 1X/DAY | N30256 | 203214 | 11 | MG | TABLET | QD | |||||
| 126615672 | 12661567 | 2 | SS | PREDNISONE. | PREDNISONE | 1 | UNK | U | 0 | ||||||||||
| 126615672 | 12661567 | 3 | C | AZOR | AMLODIPINE BESYLATEOLMESARTAN MEDOXOMIL | 1 | Oral | UNK, 1X/DAY (5-20 MG) | 0 | QD | |||||||||
| 126615672 | 12661567 | 4 | C | LEVOTHYROXIN | LEVOTHYROXINE | 1 | Oral | 25 UG, DAILY (AN HOUR BEFORE BREAKFAST) | 0 | 25 | UG | ||||||||
| 126615672 | 12661567 | 5 | C | FISH OIL | FISH OIL | 1 | UNK | 0 | |||||||||||
| 126615672 | 12661567 | 6 | C | PRESERVISION | MINERALSVITAMINS | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126615672 | 12661567 | 1 | Arthritis |
| 126615672 | 12661567 | 2 | Arthritis |
| 126615672 | 12661567 | 3 | Hypertension |
| 126615672 | 12661567 | 4 | Thyroid disorder |
| 126615672 | 12661567 | 6 | Eye disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126615672 | 12661567 | Condition aggravated | |
| 126615672 | 12661567 | Drug ineffective | |
| 126615672 | 12661567 | Herpes zoster |
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 |
|---|---|---|---|---|---|---|
| 126615672 | 12661567 | 1 | 20160621 | 0 |