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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126693101 | 12669310 | 1 | I | 20160730 | 20160810 | 20160819 | 20160819 | EXP | FR-PFIZER INC-2016393296 | PFIZER | 92.00 | YR | M | Y | 0.00000 | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126693101 | 12669310 | 1 | PS | CORDARONE | AMIODARONE HYDROCHLORIDE | 1 | Oral | 142.857 MG (200 MG, 5 IN 1 WEEK ) | 18972 | 142.857 | MG | TABLET | |||||||
| 126693101 | 12669310 | 2 | SS | LASILIX | FUROSEMIDE | 1 | Oral | 40 MG, DAILY | 0 | 40 | MG | TABLET | |||||||
| 126693101 | 12669310 | 3 | SS | COVERSYL | PERINDOPRIL | 1 | Oral | 5 MG, DAILY | 0 | 5 | MG | FILM-COATED TABLET | |||||||
| 126693101 | 12669310 | 4 | SS | ATARAX | HYDROXYZINEHYDROXYZINE HYDROCHLORIDE | 1 | Oral | 25 MG, DAILY | 0 | 25 | MG | FILM-COATED TABLET | |||||||
| 126693101 | 12669310 | 5 | SS | LOXEN | NICARDIPINE HYDROCHLORIDE | 1 | Oral | 20 MG, 2X/DAY | 0 | 20 | MG | TABLET | BID | ||||||
| 126693101 | 12669310 | 6 | SS | MODOPAR | BENSERAZIDE HYDROCHLORIDELEVODOPA | 1 | Oral | 187.5 MG, 3X/DAY | 0 | 187.5 | MG | TID |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126693101 | 12669310 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126693101 | 12669310 | Bradycardia | |
| 126693101 | 12669310 | Fall |
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 |
|---|---|---|---|---|---|---|
| 126693101 | 12669310 | 1 | 201506 | 0 | ||
| 126693101 | 12669310 | 2 | 201506 | 0 | ||
| 126693101 | 12669310 | 3 | 201506 | 0 | ||
| 126693101 | 12669310 | 4 | 201506 | 0 | ||
| 126693101 | 12669310 | 5 | 201506 | 0 | ||
| 126693101 | 12669310 | 6 | 201506 | 0 |