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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126974931 | 12697493 | 1 | I | 20160825 | 20160830 | 20160830 | PER | US-PFIZER INC-2016405267 | PFIZER | 51.00 | YR | Y | 0.00000 | 20160830 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126974931 | 12697493 | 1 | PS | DIFLUCAN | FLUCONAZOLE | 1 | UNK | U | 19949 | ||||||||||
| 126974931 | 12697493 | 2 | SS | CIPROFLOXACIN. | CIPROFLOXACIN | 1 | UNK | U | 77245 | ||||||||||
| 126974931 | 12697493 | 3 | SS | AMLODIPINE BESILATE | AMLODIPINE BESYLATE | 1 | UNK | U | 19787 | ||||||||||
| 126974931 | 12697493 | 4 | SS | DIAZEPAM. | DIAZEPAM | 1 | UNK | U | 71583 | ||||||||||
| 126974931 | 12697493 | 5 | SS | LEVOTHYROXINE SODIUM. | LEVOTHYROXINE SODIUM | 1 | UNK | U | 21301 | TABLET | |||||||||
| 126974931 | 12697493 | 6 | SS | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 7 | SS | LEVOPRIL | LEVOSULPIRIDE | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 8 | SS | TRICOR /00090101/ | ADENOSINE | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 9 | SS | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 10 | SS | PRAVACHOL | PRAVASTATIN SODIUM | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 11 | SS | VALSARTAN. | VALSARTAN | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 12 | SS | TRAMADOL. | TRAMADOL | 1 | UNK | U | 0 | ||||||||||
| 126974931 | 12697493 | 13 | SS | VITAMIN D | CHOLECALCIFEROL | 1 | UNK | U | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126974931 | 12697493 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |