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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126644891 | 12664489 | 1 | I | 2015 | 20160815 | 20160818 | 20160818 | PER | US-PFIZER INC-2016388358 | PFIZER | 57.00 | YR | M | Y | 86.00000 | KG | 20160818 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126644891 | 12664489 | 1 | PS | VIAGRA | SILDENAFIL CITRATE | 1 | Oral | 100 MG, AS NEEDED | U | 20895 | 100 | MG | FILM-COATED TABLET | ||||||
126644891 | 12664489 | 2 | SS | VIAGRA | SILDENAFIL CITRATE | 1 | Oral | 200 MG, AS NEEDED | U | 20895 | 200 | MG | FILM-COATED TABLET | ||||||
126644891 | 12664489 | 3 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 1000 MG, 2X/DAY WITH A MEAL | 0 | 1000 | MG | TABLET | BID | ||||||
126644891 | 12664489 | 4 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Oral | 10 MG, 2X/DAY WITH A MEAL | 0 | 10 | MG | TABLET | BID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126644891 | 12664489 | 1 | Erectile dysfunction |
126644891 | 12664489 | 3 | Type 1 diabetes mellitus |
126644891 | 12664489 | 4 | Type 1 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126644891 | 12664489 | Drug ineffective | |
126644891 | 12664489 | Intentional product use issue |
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 |
---|---|---|---|---|---|---|
126644891 | 12664489 | 1 | 201508 | 0 |