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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99011674 | 9901167 | 4 | F | 2010 | 20160921 | 20140217 | 20160926 | PER | US-PFIZER INC-2014044867 | PFIZER | 50.00 | YR | F | Y | 127.00000 | KG | 20160926 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99011674 | 9901167 | 1 | PS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 2X/DAY | U | 21446 | 75 | MG | CAPSULE, HARD | BID | |||||
| 99011674 | 9901167 | 2 | SS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 3X/DAY | U | 21446 | 75 | MG | CAPSULE, HARD | TID | |||||
| 99011674 | 9901167 | 3 | SS | LYRICA | PREGABALIN | 1 | Oral | 75 MG, 2X/DAY | U | 21446 | 75 | MG | CAPSULE, HARD | BID | |||||
| 99011674 | 9901167 | 4 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Oral | 1 DF, DAILY | 0 | 1 | DF | TABLET | |||||||
| 99011674 | 9901167 | 5 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 2000 IU, DAILY | 0 | 2000 | IU | CAPSULE | |||||||
| 99011674 | 9901167 | 6 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 1000 IU, DAILY | 0 | 1000 | IU | CAPSULE | |||||||
| 99011674 | 9901167 | 7 | C | FISH OIL-OMEGA 3 FATTY ACIDS | 2 | Oral | 1 G, DAILY | 0 | 1 | G | CAPSULE | ||||||||
| 99011674 | 9901167 | 8 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | 40 MG, 1X/DAY | 0 | 40 | MG | QD | ||||||||
| 99011674 | 9901167 | 9 | C | FIBERCON | CALCIUM POLYCARBOPHIL | 1 | Oral | 625 MG, DAILY | 0 | 625 | MG | TABLET | |||||||
| 99011674 | 9901167 | 10 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | UNK, AS NEEDED | 0 | |||||||||||
| 99011674 | 9901167 | 11 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | 10 MG, 2X/DAY | 0 | 10 | MG | BID | ||||||||
| 99011674 | 9901167 | 12 | C | PRAVASTATIN. | PRAVASTATIN | 1 | 40 MG, 2X/DAY | 0 | 40 | MG | BID | ||||||||
| 99011674 | 9901167 | 13 | C | PROVENTIL | ALBUTEROL | 1 | (2.5 MG/3ML) 0.083% NEBULIZER SOLUTION AT 3 MLS (2.5 MG TOTAL) IN NEBULIZER EVERY 6 (SIX) HOURS PRN | 0 | NEBULISER SOLUTION | ||||||||||
| 99011674 | 9901167 | 14 | C | ELAVIL | AMITRIPTYLINE HYDROCHLORIDE | 1 | Oral | 50 MG, DAILY (25 MG TABLET TAKE 2 TABLETS) NIGHTLY | 0 | 50 | MG | TABLET | QD | ||||||
| 99011674 | 9901167 | 15 | C | WELLBUTRIN XL | BUPROPION HYDROCHLORIDE | 1 | 150 MG, DAILY | 0 | 150 | MG | PROLONGED-RELEASE TABLET | ||||||||
| 99011674 | 9901167 | 16 | C | VALIUM | DIAZEPAM | 1 | Oral | 10 MG, EVERY 12 (TWELVE) HOURS AS NEEDED | 0 | 10 | MG | TABLET | |||||||
| 99011674 | 9901167 | 17 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 20 MG TABLET AT ONE AND ONE-HALF TABLET BY MOUTH EVERY DAY | 0 | 35 | MG | TABLET | ||||||||
| 99011674 | 9901167 | 18 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | Oral | 40 MG, DAILY | 0 | 40 | MG | TABLET | |||||||
| 99011674 | 9901167 | 19 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 1 DF, FIVE TIMES DAILY | 0 | 1 | DF | TABLET | |||||||
| 99011674 | 9901167 | 20 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | TABLET | |||||||||||
| 99011674 | 9901167 | 21 | C | NYAMYC | NYSTATIN | 1 | Topical | 100000 UNIT/GM POWD APPLY FOUR TIMES A DAY | 0 | 1 | DF | QID | |||||||
| 99011674 | 9901167 | 22 | C | GLYCOLAX | POLYETHYLENE GLYCOL 3350 | 1 | Oral | 17 G, DAILY AS NEEDED | 0 | 17 | G | ||||||||
| 99011674 | 9901167 | 23 | C | PRAVACHOL | PRAVASTATIN SODIUM | 1 | Oral | 40 MG, DAILY | 0 | 40 | MG | TABLET | |||||||
| 99011674 | 9901167 | 24 | C | ALIGN | BIFIDOBACTERIUM LONGUM SUBSP. INFANTIS | 1 | Oral | 4 MG, DAILY | 40411453A1 | 0 | 4 | MG | CAPSULE | ||||||
| 99011674 | 9901167 | 25 | C | INDERAL | PROPRANOLOL HYDROCHLORIDE | 1 | Oral | 10 MG, 2X/DAY | 0 | 10 | MG | TABLET | BID | ||||||
| 99011674 | 9901167 | 26 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | Topical | 2.5 %, 2X/DAY | 0 | 2.5 | PCT | CREAM | BID | ||||||
| 99011674 | 9901167 | 27 | C | NIZORAL | KETOCONAZOLE | 1 | Topical | 2 %, 2X/DAY | 0 | 2 | PCT | CREAM | BID | ||||||
| 99011674 | 9901167 | 28 | C | TORADOL | KETOROLAC TROMETHAMINE | 1 | Oral | 10 MG, AS NEEDED (EVERY 6 HOURS) | 0 | 10 | MG | TABLET | |||||||
| 99011674 | 9901167 | 29 | C | FlBERCON | 2 | Oral | 625 MG, DAILY | 0 | 625 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 99011674 | 9901167 | 1 | Herpes zoster |
| 99011674 | 9901167 | 11 | Hypertension |
| 99011674 | 9901167 | 12 | Blood cholesterol increased |
| 99011674 | 9901167 | 13 | Wheezing |
| 99011674 | 9901167 | 16 | Anxiety |
| 99011674 | 9901167 | 19 | Pain |
| 99011674 | 9901167 | 20 | Pain |
| 99011674 | 9901167 | 25 | Anxiety |
| 99011674 | 9901167 | 28 | Pain |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 99011674 | 9901167 | Anxiety | |
| 99011674 | 9901167 | Pain | |
| 99011674 | 9901167 | Wheezing |
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 |
|---|---|---|---|---|---|---|
| 99011674 | 9901167 | 3 | 20160913 | 0 |