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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94314203 | 9431420 | 3 | F | 2013 | 20130813 | 20130730 | 20130816 | PER | US-009507513-1307USA012717 | MERCK | 55.21 | YR | M | Y | 0.00000 | 20130816 | OT | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94314203 | 9431420 | 1 | PS | PEG-INTRON | 1 | UNKNOWN | REDIPEN, UNK | D | 103949 | POWDER FOR INJECTION | |||||||||
| 94314203 | 9431420 | 2 | SS | REBETOL | 1 | ORAL | UNK | D | 0 | CAPSULE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 94314203 | 9431420 | 1 | Hepatitis C |
| 94314203 | 9431420 | 2 | Hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 94314203 | 9431420 | Anxiety | |
| 94314203 | 9431420 | Injection site reaction | |
| 94314203 | 9431420 | Paramnesia | |
| 94314203 | 9431420 | Thyroid function test abnormal |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 94314203 | 9431420 | 1 | 20130719 | 0 | ||
| 94314203 | 9431420 | 2 | 20130719 | 0 |