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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100054392 | 10005439 | 2 | F | 20130930 | 20140318 | 20140313 | 20140331 | EXP | JP-ROCHE-1361656 | ROCHE | 55.00 | YR | F | Y | 61.00000 | KG | 20140331 | N | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100054392 | 10005439 | 1 | PS | Avastin | 1 | INTRAVENOUS DRIP | D | 125085 | 10 | MG/KG | QOW | ||||||||
| 100054392 | 10005439 | 2 | SS | PACLITAXEL | 1 | INTRAVENOUS | D | 0 | 128 | MG | QD | ||||||||
| 100054392 | 10005439 | 3 | SS | PACLITAXEL | 1 | INTRAVENOUS DRIP | D | 0 | 100 | MG | QD | ||||||||
| 100054392 | 10005439 | 4 | C | NEO-MINOPHAGEN C | 1 | UNKNOWN | D | 0 | 40 | ML | QD | ||||||||
| 100054392 | 10005439 | 5 | C | AMINOLEBAN | 1 | UNKNOWN | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100054392 | 10005439 | 1 | Breast cancer metastatic |
| 100054392 | 10005439 | 2 | Breast cancer metastatic |
| 100054392 | 10005439 | 3 | Breast cancer metastatic |
| 100054392 | 10005439 | 4 | Hepatic function abnormal |
| 100054392 | 10005439 | 5 | Hepatic function abnormal |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100054392 | 10005439 | DE |
| 100054392 | 10005439 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100054392 | 10005439 | Herpes zoster | |
| 100054392 | 10005439 | Sepsis |
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 |
|---|---|---|---|---|---|---|
| 100054392 | 10005439 | 1 | 20130903 | 20130917 | 0 | |
| 100054392 | 10005439 | 2 | 20130903 | 20130903 | 0 | |
| 100054392 | 10005439 | 3 | 20130917 | 20130917 | 0 | |
| 100054392 | 10005439 | 4 | 20130830 | 20130909 | 0 | |
| 100054392 | 10005439 | 5 | 20130911 | 20130928 | 0 |