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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634579 | 5723153 | F | 1 | 4634579-1 | 20040903 | 20050404 | 20050411 | EXP | 2005-01-0302 | SCHERING-PLOUGH CORPORATION | 63 | YR | F | N | 80 | KG | 20050404 | MD | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634579 | 1005875200 | PS | VIRAFERONPEG | 1 | SUBCUTANEOUS | 120MG QW SC SUBCUTANEOUS | Y | D | |||
| 4634579 | 1005897071 | SS | REBETOL | 1 | ORAL | 1G WF PO ORAL | Y | D | |||
| 4634579 | 1005897074 | C | SEROPRAM (CITALOPRAM HBR) | 2 | |||||||
| 4634579 | 1005897075 | C | TRANXENE | 1 | |||||||
| 4634579 | 1005897077 | C | TERCIAN | 2 | |||||||
| 4634579 | 1005897079 | C | LEVOTHYROX | 2 | |||||||
| 4634579 | 1005897081 | C | PROPRANOLOL HYDROCHLORIDE | 1 | |||||||
| 4634579 | 1005897082 | C | PANTOPRAZOL | 2 | |||||||
| 4634579 | 1005897083 | C | EVISTA | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4634579 | 1005875200 | HEPATITIS C |
| 4634579 | 1005897071 | HEPATITIS C |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4634579 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4634579 | DEMYELINATION |
| 4634579 | POLYNEUROPATHY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4634579 | FGN |
| 4634579 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4634579 | 1005875200 | 20040628 | 20040903 | ||
| 4634579 | 1005897071 | 20040628 | 20040903 |