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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 79604395 | 7960439 | 5 | F | 20110501 | 20160823 | 20110525 | 20160829 | PER | US-PFIZER INC-2011111083 | PFIZER | 52.00 | YR | F | Y | 76.19000 | KG | 20160829 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 79604395 | 7960439 | 1 | PS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 2X/DAY | N | 21446 | 75 | MG | CAPSULE, HARD | BID | |||||
| 79604395 | 7960439 | 2 | SS | LYRICA | PREGABALIN | 1 | N | 21446 | CAPSULE, HARD | ||||||||||
| 79604395 | 7960439 | 3 | SS | LYRICA | PREGABALIN | 1 | N | 21446 | CAPSULE, HARD | ||||||||||
| 79604395 | 7960439 | 4 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 150 MG, 1X/DAY | 0 | 150 | MG | QD | |||||||
| 79604395 | 7960439 | 5 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 79604395 | 7960439 | 6 | C | CLOZAPINE. | CLOZAPINE | 1 | 0.5 MG, UNK | 0 | .5 | MG | |||||||||
| 79604395 | 7960439 | 7 | C | ARMOUR THYROID | THYROID, PORCINE | 1 | 10 MG, UNK | 0 | 10 | MG | |||||||||
| 79604395 | 7960439 | 8 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 79604395 | 7960439 | 9 | C | LIORESAL | BACLOFEN | 1 | Oral | 10 MG, 2X/DAY | 0 | 10 | MG | TABLET | BID | ||||||
| 79604395 | 7960439 | 10 | C | KLONOPIN | CLONAZEPAM | 1 | Oral | 1 MG, 2X/DAY | 0 | 1 | MG | TABLET | BID | ||||||
| 79604395 | 7960439 | 11 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Oral | 10 MG, 3X/DAY | 0 | 10 | MG | TABLET | TID | ||||||
| 79604395 | 7960439 | 12 | C | BENTYL | DICYCLOMINE HYDROCHLORIDE | 1 | Oral | 10 MG, 3X/DAY | 0 | 10 | MG | CAPSULE | TID | ||||||
| 79604395 | 7960439 | 13 | C | ESTRACE | ESTRADIOL | 1 | Oral | 1 MG, 1X/DAY | 0 | 1 | MG | TABLET | QD | ||||||
| 79604395 | 7960439 | 14 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Oral | 125 UG, 1X/DAY | 0 | 125 | UG | TABLET | QD | ||||||
| 79604395 | 7960439 | 15 | C | MOBIC | MELOXICAM | 1 | Oral | 15 MG, 1X/DAY | 0 | 15 | MG | TABLET | QD | ||||||
| 79604395 | 7960439 | 16 | C | INDERAL | PROPRANOLOL HYDROCHLORIDE | 1 | Oral | 10 MG, 2X/DAY (EVERY 12 HOURS) | 0 | 10 | MG | TABLET | BID | ||||||
| 79604395 | 7960439 | 17 | C | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Oral | 100 MG, AS NEEDED (ONCE,AS NEEDED FOR MIGRAINE. MAY REPEAT IN 2 HOURS IN NEEDED) | 0 | 100 | MG | TABLET | |||||||
| 79604395 | 7960439 | 18 | C | DESYREL | TRAZODONE HYDROCHLORIDE | 1 | Oral | 50 MG, 1X/DAY (EVERY NIGHT) | 0 | 50 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 79604395 | 7960439 | 1 | Fibromyalgia |
| 79604395 | 7960439 | 2 | Myalgia |
| 79604395 | 7960439 | 3 | Arthralgia |
| 79604395 | 7960439 | 4 | Depression |
| 79604395 | 7960439 | 5 | Anxiety |
| 79604395 | 7960439 | 6 | Anxiety |
| 79604395 | 7960439 | 7 | Hypothyroidism |
| 79604395 | 7960439 | 17 | Migraine |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 79604395 | 7960439 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 79604395 | 7960439 | Drug hypersensitivity | |
| 79604395 | 7960439 | Lip swelling | |
| 79604395 | 7960439 | Peripheral swelling | |
| 79604395 | 7960439 | Pharyngeal oedema | |
| 79604395 | 7960439 | Tongue oedema |
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 |
|---|---|---|---|---|---|---|
| 79604395 | 7960439 | 1 | 201103 | 20110525 | 0 |