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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90613031 | 9061303 | 1 | I | 20120201 | 0 | 20130208 | 20130208 | DIR | 66.09 | YR | M | N | 95.10000 | KG | 20120205 | RN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90613031 | 9061303 | 1 | PS | ALIMTA | 1 | INTRAVENOUS | N | 21462 | Q3W | ||||||||||
| 90613031 | 9061303 | 2 | SS | AVASTIN | 1 | INTRAVENOUS | N | 0 | Q3W | ||||||||||
| 90613031 | 9061303 | 3 | SS | CARBOPLATIN | 1 | INTRAVENOUS | N | 0 | Q3W |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 90613031 | 9061303 | 1 | Non-small cell lung cancer |
| 90613031 | 9061303 | 2 | Non-small cell lung cancer |
| 90613031 | 9061303 | 3 | Non-small cell lung cancer |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 90613031 | 9061303 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 90613031 | 9061303 | Deep vein thrombosis | |
| 90613031 | 9061303 | Pulmonary embolism | |
| 90613031 | 9061303 | Varicose vein |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 90613031 | 9061303 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 90613031 | 9061303 | 1 | 20121112 | 20120114 | 0 | |
| 90613031 | 9061303 | 2 | 20121112 | 20120114 | 0 | |
| 90613031 | 9061303 | 3 | 20121112 | 20120114 | 0 |