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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127701931 | 12770193 | 1 | I | 20160919 | 20160922 | 20160922 | PER | US-PFIZER INC-2016441481 | PFIZER | 0.00 | F | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127701931 | 12770193 | 1 | PS | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | U | 50007 | |||||||||||
| 127701931 | 12770193 | 2 | SS | CLINDAMYCIN HCL | CLINDAMYCIN HYDROCHLORIDE | 1 | U | 50162 | CAPSULE, HARD | ||||||||||
| 127701931 | 12770193 | 3 | SS | DEMEROL | MEPERIDINE HYDROCHLORIDE | 1 | U | 21171 | SOLUTION FOR INJECTION | ||||||||||
| 127701931 | 12770193 | 4 | SS | ESTRADIOL. | ESTRADIOL | 1 | U | 20472 | |||||||||||
| 127701931 | 12770193 | 5 | SS | IBUPROFEN. | IBUPROFEN | 1 | U | 18989 | |||||||||||
| 127701931 | 12770193 | 6 | SS | PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | U | 11839 | TABLET | ||||||||||
| 127701931 | 12770193 | 7 | SS | FLU VACCINE | INFLUENZA VIRUS VACCINE | 1 | U | 0 | |||||||||||
| 127701931 | 12770193 | 8 | SS | CODEINE | CODEINE | 1 | U | 0 | |||||||||||
| 127701931 | 12770193 | 9 | SS | SULFUR. | SULFUR | 1 | U | 0 | |||||||||||
| 127701931 | 12770193 | 10 | SS | TYLENOL | ACETAMINOPHEN | 1 | U | 0 | |||||||||||
| 127701931 | 12770193 | 11 | SS | PREDNISONE. | PREDNISONE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127701931 | 12770193 | 7 | Immunisation |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127701931 | 12770193 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |