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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127237641 | 12723764 | 1 | I | 20160906 | 20160908 | 20160908 | PER | US-PFIZER INC-2016422334 | PFIZER | 59.00 | YR | F | Y | 0.00000 | 20160908 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127237641 | 12723764 | 1 | PS | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | UNK | U | 50670 | ||||||||||
| 127237641 | 12723764 | 2 | C | ENBREL | ETANERCEPT | 1 | Unknown | 50 MG, QWK ON SATURDAY | 1067265 | 0 | 50 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||
| 127237641 | 12723764 | 3 | C | VICODIN | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | UNK | 0 | |||||||||||
| 127237641 | 12723764 | 4 | C | SOMA | CARISOPRODOL | 1 | UNK | 0 | |||||||||||
| 127237641 | 12723764 | 5 | C | CARISOPRODOL. | CARISOPRODOL | 1 | UNK | 0 | |||||||||||
| 127237641 | 12723764 | 6 | C | XANAX | ALPRAZOLAM | 1 | UNK UNK, QHS | 0 | |||||||||||
| 127237641 | 12723764 | 7 | C | METHOTREXATE. | METHOTREXATE | 1 | 7 PILLS, QWK ON TUESDAYS | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127237641 | 12723764 | 1 | Bronchitis |
| 127237641 | 12723764 | 2 | Rheumatoid arthritis |
| 127237641 | 12723764 | 4 | Restless legs syndrome |
| 127237641 | 12723764 | 5 | Restless legs syndrome |
| 127237641 | 12723764 | 6 | Pain |
| 127237641 | 12723764 | 7 | Osteoarthritis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127237641 | 12723764 | Drug ineffective |
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 |
|---|---|---|---|---|---|---|
| 127237641 | 12723764 | 2 | 2016 | 0 |