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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90596471 | 9059647 | 1 | I | 20130125 | 0 | 20130206 | 20130206 | DIR | 80.00 | YR | M | N | 132.00000 | LBS | 20130131 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90596471 | 9059647 | 1 | PS | EVEROLIMUS | 1 | ORAL | D | D | 0 | 10 | MG | QD | |||||||
| 90596471 | 9059647 | 2 | SS | BICALUTAMIDE | 1 | ORAL | D | D | 0 | 50 | MG | QD | |||||||
| 90596471 | 9059647 | 4 | C | MAALOX | 1 | 0 | |||||||||||||
| 90596471 | 9059647 | 5 | C | VIVONEX TEN | 2 | 0 | |||||||||||||
| 90596471 | 9059647 | 7 | C | GLUCOSAMINE HCL | 1 | 0 | |||||||||||||
| 90596471 | 9059647 | 9 | C | CHONDROITIN | 1 | 0 | |||||||||||||
| 90596471 | 9059647 | 11 | C | REGLAN | 1 | 0 | |||||||||||||
| 90596471 | 9059647 | 13 | C | MULTIVITAMIN | 1 | 0 | |||||||||||||
| 90596471 | 9059647 | 15 | C | PANCREATIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 90596471 | 9059647 | 1 | Prostate cancer |
| 90596471 | 9059647 | 2 | Prostate cancer |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 90596471 | 9059647 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 90596471 | 9059647 | Chills | |
| 90596471 | 9059647 | Diarrhoea | |
| 90596471 | 9059647 | Fatigue | |
| 90596471 | 9059647 | Hypotension | |
| 90596471 | 9059647 | Pneumonia | |
| 90596471 | 9059647 | Pyrexia | |
| 90596471 | 9059647 | Urinary tract infection |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 90596471 | 9059647 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 90596471 | 9059647 | 1 | 20130104 | 0 | ||
| 90596471 | 9059647 | 2 | 20130104 | 0 |