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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127643311 | 12764331 | 1 | I | 201510 | 20160915 | 20160920 | 20160920 | PER | US-PFIZER INC-2016436117 | PFIZER | 45.00 | YR | F | Y | 0.00000 | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127643311 | 12764331 | 1 | PS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 150 MG, 2X/DAY, ONE CAPSULE BY MOUTH TWICE A DAY | 20699 | 150 | MG | PROLONGED-RELEASE CAPSULE | BID | ||||||
| 127643311 | 12764331 | 2 | C | NAMENDA XR | MEMANTINE HYDROCHLORIDE | 1 | Oral | 28 MG, DAILY, ONE TABLET BY MOUTH DAILY | 0 | 28 | MG | TABLET | |||||||
| 127643311 | 12764331 | 3 | C | SKELAXIN | METAXALONE | 1 | Oral | 1600 MG, 800MG TWO TABLETS | 0 | 1600 | MG | TABLET | |||||||
| 127643311 | 12764331 | 4 | C | TEMAZEPAM. | TEMAZEPAM | 1 | Oral | 45 MG, DAILY, 15MG THREE CAPSULES BY MOUTH AT BEDTIME | 0 | 45 | MG | CAPSULE | |||||||
| 127643311 | 12764331 | 5 | C | TIZANIDINE. | TIZANIDINE | 1 | Oral | 24 MG, DAILY, 4MG SIX TABLETS BY MOUTH AT BEDTIME | 0 | 24 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127643311 | 12764331 | 1 | Post-traumatic stress disorder |
| 127643311 | 12764331 | 2 | Migraine |
| 127643311 | 12764331 | 3 | Migraine |
| 127643311 | 12764331 | 4 | Migraine |
| 127643311 | 12764331 | 5 | Migraine |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127643311 | 12764331 | Balance disorder | |
| 127643311 | 12764331 | Drug dose omission | |
| 127643311 | 12764331 | Drug hypersensitivity | |
| 127643311 | 12764331 | Insomnia | |
| 127643311 | 12764331 | Nervousness | |
| 127643311 | 12764331 | Nightmare | |
| 127643311 | 12764331 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 127643311 | 12764331 | 1 | 2014 | 0 | ||
| 127643311 | 12764331 | 2 | 2014 | 0 | ||
| 127643311 | 12764331 | 3 | 2015 | 0 | ||
| 127643311 | 12764331 | 4 | 2010 | 0 | ||
| 127643311 | 12764331 | 5 | 2010 | 0 |