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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4463186 | 4158126 | F | 4463186-9 | 20040201 | 20040611 | 20040930 | EXP | US-ROCHE-371033 | ROCHE | 35 | YR | M | Y | 68 | KG | 20040930 | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4463186 | 1005252462 | PS | PEGASYS | 1 | OTHER | ROUTE REPORTED AS INJ. DOSE REPORTED AS 180/0.5 ML ONCE A WEEK. | B0030 | ||||
| 4463186 | 1005252463 | SS | COPEGUS | 1 | ORAL | U3077 | |||||
| 4463186 | 1005252464 | SS | COPEGUS | 1 | ORAL | U3077 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4463186 | 1005252462 | HEPATITIS C |
| 4463186 | 1005252463 | HEPATITIS C |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4463186 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4463186 | ANOREXIA |
| 4463186 | BLOOD BLISTER |
| 4463186 | BLOOD GLUCOSE INCREASED |
| 4463186 | BLOOD TRIGLYCERIDES INCREASED |
| 4463186 | CHEST PAIN |
| 4463186 | DEAFNESS |
| 4463186 | DIZZINESS |
| 4463186 | DRY SKIN |
| 4463186 | DYSPNOEA |
| 4463186 | FATIGUE |
| 4463186 | FORMICATION |
| 4463186 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 4463186 | HAEMOGLOBIN DECREASED |
| 4463186 | HEADACHE |
| 4463186 | HEARING IMPAIRED |
| 4463186 | HOT FLUSH |
| 4463186 | HYPOTRICHOSIS |
| 4463186 | INSOMNIA |
| 4463186 | IRRITABILITY |
| 4463186 | MEMORY IMPAIRMENT |
| 4463186 | MOUTH ULCERATION |
| 4463186 | NAUSEA |
| 4463186 | PAIN |
| 4463186 | PRURITUS |
| 4463186 | RASH |
| 4463186 | SINUS CONGESTION |
| 4463186 | SINUS DISORDER |
| 4463186 | TONSILLITIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4463186 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4463186 | 1005252462 | 20040215 | 20040818 | ||
| 4463186 | 1005252463 | 20040215 | 20040818 | ||
| 4463186 | 1005252464 | 20040818 |