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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103695943 | 10369594 | 3 | F | 20160218 | 20140807 | 20160922 | PER | US-AMGEN INC.-USASP2014024459 | AMGEN | 49.00 | YR | A | F | Y | 0.00000 | 20160922 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103695943 | 10369594 | 1 | PS | NEUPOGEN | FILGRASTIM | 1 | Unknown | 300 MCG, 1 IN 1 D | U | 103353 | 300 | UG | UNKNOWN FORMULATION | QD | |||||
| 103695943 | 10369594 | 2 | SS | NEULASTA | PEGFILGRASTIM | 1 | Unknown | 6 MG, UNK | U | 0 | 6 | MG | UNKNOWN FORMULATION | ||||||
| 103695943 | 10369594 | 3 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 289 MG, 1 IN 1 D | 0 | 289 | MG | SOLUTION FOR INFUSION | QD | ||||||
| 103695943 | 10369594 | 4 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 145 MG, 1 IN 1 D | 0 | 145 | MG | SOLUTION FOR INFUSION | QD | ||||||
| 103695943 | 10369594 | 5 | C | DEXAMETHASONE SODIUM PHOSPHATE. | DEXAMETHASONE SODIUM PHOSPHATE | 1 | Intravenous (not otherwise specified) | 20 MG, 1 IN 1 D | 0 | 20 | MG | QD | |||||||
| 103695943 | 10369594 | 6 | C | DEXAMETHASONE SODIUM PHOSPHATE. | DEXAMETHASONE SODIUM PHOSPHATE | 1 | Intravenous (not otherwise specified) | 10 MG, UNK | 0 | 10 | MG | ||||||||
| 103695943 | 10369594 | 7 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 25 MG, 1 IN 1 D | 0 | 25 | MG | QD | |||||||
| 103695943 | 10369594 | 8 | C | ALOXI | PALONOSETRON HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 0.25 MG, 1 IN 1 D | 0 | .25 | MG | QD | |||||||
| 103695943 | 10369594 | 9 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 50 MG, 1 IN 1 D | 0 | 50 | MG | QD | |||||||
| 103695943 | 10369594 | 10 | C | TYLENOL | ACETAMINOPHEN | 1 | Oral | 1000 MG, 1 IN 1 D | 0 | 1000 | MG | QD | |||||||
| 103695943 | 10369594 | 11 | C | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | 135 MG, UNK | 0 | 135 | MG | ||||||||
| 103695943 | 10369594 | 12 | C | CARBOPLATIN. | CARBOPLATIN | 1 | 758 MG, UNK | 0 | 758 | MG | |||||||||
| 103695943 | 10369594 | 13 | C | CARBOPLATIN. | CARBOPLATIN | 1 | Intravenous (not otherwise specified) | 837 MG, UNK | 0 | 837 | MG | ||||||||
| 103695943 | 10369594 | 14 | C | PEPCID | FAMOTIDINE | 1 | Intravenous (not otherwise specified) | 20 MG, UNK | 0 | 20 | MG | ||||||||
| 103695943 | 10369594 | 15 | C | INFLUENZA VIRUS VACCINE | INFLUENZA VIRUS VACCINE | 1 | Intramuscular | UNK | 0 | ||||||||||
| 103695943 | 10369594 | 16 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 650 MG, 1 IN 1 D | 0 | 650 | MG | QD | |||||||
| 103695943 | 10369594 | 17 | C | DIPHENHYDRAMINE HCL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 12.5 MG, 1 IN 1 D | 0 | 12.5 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103695943 | 10369594 | 1 | Product used for unknown indication |
| 103695943 | 10369594 | 2 | Product used for unknown indication |
| 103695943 | 10369594 | 3 | Breast cancer female |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 103695943 | 10369594 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103695943 | 10369594 | Fatigue | |
| 103695943 | 10369594 | Pain | |
| 103695943 | 10369594 | Platelet count decreased |
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 |
|---|---|---|---|---|---|---|
| 103695943 | 10369594 | 1 | 20110926 | 0 | ||
| 103695943 | 10369594 | 2 | 20111122 | 0 | ||
| 103695943 | 10369594 | 3 | 20110919 | 0 | ||
| 103695943 | 10369594 | 4 | 20110926 | 0 | ||
| 103695943 | 10369594 | 6 | 20111219 | 20111219 | 0 | |
| 103695943 | 10369594 | 13 | 20111219 | 20111219 | 0 | |
| 103695943 | 10369594 | 15 | 20111003 | 0 | ||
| 103695943 | 10369594 | 16 | 20111212 | 0 |