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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4974812 | 6045621 | I | 4974812-X | 20030912 | 20041022 | 20060216 | PER | 2004IM000500 | INTERMUNE | 53 | YR | F | N | 67.5 | KG | 20060214 | MD | CANADA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4974812 | 1007177154 | PS | INTERFERON GAMMA-1B | 2 | SUBCUTANEOUS | 100 UG, TIW, SUBCUTANEOUS | D | D | |||
| 4974812 | 1007285188 | SS | CARBOPLATIN | 1 | INTRAVENOUS | 653 MG, Q3W, INTRAVENOUS | D | D | |||
| 4974812 | 1007285210 | SS | PACLITAXEL | 1 | INTRAVENOUS | 306 MG, Q3W, INTRAVENOUS | D | D | |||
| 4974812 | 1007285211 | C | RANITIDINE | 1 | |||||||
| 4974812 | 1007285213 | C | VITAMIN B6 | 1 | |||||||
| 4974812 | 1007285290 | C | WB3 LINOLINIC ACID | 2 | |||||||
| 4974812 | 1007285291 | C | TYLENOL (CAPLET) | 1 | |||||||
| 4974812 | 1007285292 | C | SENOKOT | 1 | |||||||
| 4974812 | 1007285293 | C | IMOVANE | 2 | |||||||
| 4974812 | 1007285294 | C | LASIX | 1 | |||||||
| 4974812 | 1007285295 | C | SPIRONOLACTONE | 1 | |||||||
| 4974812 | 1007285297 | C | ECHINCEA | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4974812 | 1007177154 | OVARIAN CANCER |
| 4974812 | 1007285188 | OVARIAN CANCER |
| 4974812 | 1007285210 | OVARIAN CANCER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4974812 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4974812 | NEUTROPENIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4974812 | FGN |
| 4974812 | HP |
| 4974812 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4974812 | 1007177154 | 20030424 | 20030911 | ||
| 4974812 | 1007285188 | 20030424 | 20030903 | ||
| 4974812 | 1007285210 | 20030424 | 20030903 |