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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126942391 | 12694239 | 1 | I | 2016 | 20160825 | 20160829 | 20160829 | PER | US-PFIZER INC-2016404267 | PFIZER | 79.00 | YR | F | Y | 77.00000 | KG | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126942391 | 12694239 | 1 | PS | ADVIL | IBUPROFEN | 1 | Oral | 2 DF, 1X/DAY, EVERY NIGHT | 48154A | 18989 | 2 | DF | TABLET | QD | |||||
| 126942391 | 12694239 | 2 | SS | ADVIL | IBUPROFEN | 1 | 18989 | TABLET | |||||||||||
| 126942391 | 12694239 | 3 | SS | CETIRIZINE HCL | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 10 MG, 1X/DAY, EVERY NIGHT | FL0292 | 0 | 10 | MG | TABLET | QD | |||||
| 126942391 | 12694239 | 4 | SS | VITAMIN B12 | CYANOCOBALAMIN | 1 | 1000 UG, UNK | 158944A | 0 | 1000 | UG | ||||||||
| 126942391 | 12694239 | 5 | SS | VITAMIN B12 | CYANOCOBALAMIN | 1 | 2500 UG, UNK | 0 | 2500 | UG | |||||||||
| 126942391 | 12694239 | 6 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | UNK | 0 | |||||||||||
| 126942391 | 12694239 | 7 | C | BAYER LOW DOSE | ASPIRIN | 1 | UNK | 0 | |||||||||||
| 126942391 | 12694239 | 8 | C | CALCIUM + D3 | CALCIUMCHOLECALCIFEROL | 1 | 1200 MG /1000 IU | 0 | |||||||||||
| 126942391 | 12694239 | 9 | C | PRESERVISION AREDS 2 | 2 | 2 DF, DAILY | 0 | 2 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126942391 | 12694239 | 1 | Fall |
| 126942391 | 12694239 | 2 | Lower limb fracture |
| 126942391 | 12694239 | 3 | Hypersensitivity |
| 126942391 | 12694239 | 9 | Vitamin supplementation |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126942391 | 12694239 | Condition aggravated | |
| 126942391 | 12694239 | Expired product administered | |
| 126942391 | 12694239 | Product use issue | |
| 126942391 | 12694239 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 126942391 | 12694239 | 3 | 2016 | 0 | ||
| 126942391 | 12694239 | 4 | 2016 | 201608 | 0 | |
| 126942391 | 12694239 | 5 | 201608 | 0 |