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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127728441 | 12772844 | 1 | I | 201606 | 20160915 | 20160922 | 20160922 | EXP | FR-PFIZER INC-2016434875 | PFIZER | 68.00 | YR | M | Y | 0.00000 | 20160922 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127728441 | 12772844 | 1 | PS | NOVATREX NOS | AZITHROMYCIN OR METHOTREXATE SODIUM | 1 | Oral | 2.5 MG, WEEKLY | N | 11719 | 2.5 | MG | TABLET | /wk | |||||
| 127728441 | 12772844 | 2 | SS | NOVATREX NOS | AZITHROMYCIN OR METHOTREXATE SODIUM | 1 | Oral | 2.5 MG, 3 TIMES A WEEK | N | 11719 | 2.5 | MG | TABLET | ||||||
| 127728441 | 12772844 | 3 | SS | NOVATREX NOS | AZITHROMYCIN OR METHOTREXATE SODIUM | 1 | Oral | 2.5 MG, 4 TIMES A WEEK | N | 11719 | 2.5 | MG | TABLET | ||||||
| 127728441 | 12772844 | 4 | SS | VENLAFAXINE HCL | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 75 MG, 1X/DAY | N | 20699 | 75 | MG | QD | ||||||
| 127728441 | 12772844 | 5 | SS | CORTANCYL | PREDNISONE | 1 | Oral | 35 MG, 1X/DAY IN THE MORNING | N | 0 | 35 | MG | QD | ||||||
| 127728441 | 12772844 | 6 | SS | WELLVONE | ATOVAQUONE | 1 | Oral | UNK | N | 0 | |||||||||
| 127728441 | 12772844 | 7 | C | INNOVAIR | BECLOMETHASONE DIPROPIONATEFORMOTEROL | 1 | 2 PUFFS, 2X/DAY IN THE MORNING AND IN THE EVENING | 0 | BID | ||||||||||
| 127728441 | 12772844 | 8 | C | SPECIAFOLDINE | FOLIC ACID | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127728441 | 12772844 | 1 | Polychondritis |
| 127728441 | 12772844 | 4 | Depression |
| 127728441 | 12772844 | 5 | Polychondritis |
| 127728441 | 12772844 | 6 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127728441 | 12772844 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127728441 | 12772844 | Activities of daily living impaired | |
| 127728441 | 12772844 | Apraxia | |
| 127728441 | 12772844 | Catatonia | |
| 127728441 | 12772844 | Delirium | |
| 127728441 | 12772844 | Hallucination, auditory | |
| 127728441 | 12772844 | Hallucination, visual | |
| 127728441 | 12772844 | Persecutory delusion | |
| 127728441 | 12772844 | Postural tremor | |
| 127728441 | 12772844 | Psychomotor skills impaired |
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 |
|---|---|---|---|---|---|---|
| 127728441 | 12772844 | 1 | 20160307 | 0 | ||
| 127728441 | 12772844 | 3 | 20160512 | 20160823 | 0 | |
| 127728441 | 12772844 | 4 | 20160828 | 0 | ||
| 127728441 | 12772844 | 6 | 20160307 | 20160827 | 0 | |
| 127728441 | 12772844 | 8 | 20160307 | 0 |