Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4430569 | 4189219 | F | 1 | 4430569-2 | 20040624 | 20040809 | 20040818 | EXP | 2004-07-1271 | SCHERING-PLOUGH CORPORATION | 43 | YR | M | N | 20040812 | MD |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4430569 | 1005132461 | PS | PEG-INTRON | 1 | SUBCUTANEOUS | 120 MCG QWK SUBCUTANEOUS | U | D | |||
| 4430569 | 1005146797 | SS | REBETOL | 1 | ORAL | ORAL | U | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4430569 | 1005132461 | HEPATITIS C |
| 4430569 | 1005146797 | HEPATITIS C |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4430569 | HO |
| 4430569 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4430569 | DISEASE RECURRENCE |
| 4430569 | PULMONARY EMBOLISM |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4430569 | FGN |
| 4430569 | HP |
| 4430569 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4430569 | 1005132461 | 20040101 | 20040722 |