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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103696044 | 10369604 | 4 | F | 20160216 | 20140807 | 20160922 | PER | US-AMGEN INC.-USASP2014024356 | AMGEN | 41.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103696044 | 10369604 | 1 | PS | NEUPOGEN | FILGRASTIM | 1 | Subcutaneous | 300 MG, UNK | U | 103353 | 300 | MG | UNKNOWN FORMULATION | ||||||
| 103696044 | 10369604 | 2 | SS | NEULASTA | PEGFILGRASTIM | 1 | Subcutaneous | 6 MG, UNK | U | 0 | 6 | MG | UNKNOWN FORMULATION | ||||||
| 103696044 | 10369604 | 3 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 230 MG, UNK | 0 | 230 | MG | SOLUTION FOR INFUSION | |||||||
| 103696044 | 10369604 | 4 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 115 MG, UNK | 0 | 115 | MG | SOLUTION FOR INFUSION | |||||||
| 103696044 | 10369604 | 5 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 115 MG, UNK | 0 | 115 | MG | SOLUTION FOR INFUSION | |||||||
| 103696044 | 10369604 | 6 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous (not otherwise specified) | 350 MG, UNK | 0 | 350 | MG | SOLUTION FOR INFUSION | |||||||
| 103696044 | 10369604 | 7 | C | TAXOL | PACLITAXEL | 1 | Intravenous (not otherwise specified) | 125 MG, UNK | 0 | 125 | MG | ||||||||
| 103696044 | 10369604 | 8 | C | PEPCID | FAMOTIDINE | 1 | Intravenous (not otherwise specified) | 20 MG, UNK | 0 | 20 | MG | ||||||||
| 103696044 | 10369604 | 9 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 8 MG, UNK | 0 | 8 | MG | ||||||||
| 103696044 | 10369604 | 10 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 16 MG, UNK | 0 | 16 | MG | ||||||||
| 103696044 | 10369604 | 11 | C | DEXAMETHASONE. | DEXAMETHASONE | 1 | Intravenous (not otherwise specified) | 20 MG, UNK | 0 | 20 | MG | ||||||||
| 103696044 | 10369604 | 12 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 50 MG, UNK | 0 | 50 | MG | ||||||||
| 103696044 | 10369604 | 13 | C | ADRIAMYCIN | DOXORUBICIN HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 95 MG, (60 MG/M2,1 IN 14 D) | 0 | 95 | MG | QOW | |||||||
| 103696044 | 10369604 | 14 | C | CYTOXAN | CYCLOPHOSPHAMIDE | 1 | Intravenous (not otherwise specified) | (600 MG/M2, 1 IN 14 D) | 0 | 600 | MG/M**2 | QOW | |||||||
| 103696044 | 10369604 | 15 | C | EMEND | APREPITANT | 1 | Intravenous (not otherwise specified) | 150 MG, UNK | 0 | 150 | MG | ||||||||
| 103696044 | 10369604 | 16 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103696044 | 10369604 | 1 | Product used for unknown indication |
| 103696044 | 10369604 | 2 | Product used for unknown indication |
| 103696044 | 10369604 | 3 | Breast cancer |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103696044 | 10369604 | Abdominal pain upper | |
| 103696044 | 10369604 | Back pain | |
| 103696044 | 10369604 | Chest pain | |
| 103696044 | 10369604 | Epistaxis | |
| 103696044 | 10369604 | Fall | |
| 103696044 | 10369604 | Insomnia | |
| 103696044 | 10369604 | Nasal decongestion therapy | |
| 103696044 | 10369604 | Neutrophil count decreased | |
| 103696044 | 10369604 | Pain | |
| 103696044 | 10369604 | Paranasal sinus hypersecretion | |
| 103696044 | 10369604 | Peripheral swelling | |
| 103696044 | 10369604 | Productive cough | |
| 103696044 | 10369604 | White blood cell 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 |
|---|---|---|---|---|---|---|
| 103696044 | 10369604 | 3 | 20130410 | 0 | ||
| 103696044 | 10369604 | 4 | 20130403 | 0 | ||
| 103696044 | 10369604 | 5 | 20130808 | 0 |