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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
104404043 | 10440404 | 3 | F | 20130419 | 20160707 | 20140909 | 20160711 | EXP | DE-ROCHE-1458222 | ROCHE | 67.60 | YR | M | Y | 95.00000 | KG | 20160712 | MD | DE | DE |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
104404043 | 10440404 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | Y | 125085 | 712 | MG | Q3W | |||||||
104404043 | 10440404 | 2 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | DATE OF LAST DOSE PRIOR TO EVENT : 03/APR/2013 | Y | 125085 | 712 | MG | Q3W | ||||||
104404043 | 10440404 | 3 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 4000 | MG | |||||||||
104404043 | 10440404 | 4 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 3300 | MG | |||||||||
104404043 | 10440404 | 5 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 4000 | MG | |||||||||
104404043 | 10440404 | 6 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 3300 | MG | |||||||||
104404043 | 10440404 | 7 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 3300 | MG | |||||||||
104404043 | 10440404 | 8 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 9 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 10 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 11 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 12 | C | CAPECITABINE. | CAPECITABINE | 1 | Oral | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 13 | C | CLEXANE | ENOXAPARIN SODIUM | 1 | Subcutaneous | 0 | .4 | ML | QOD | ||||||||
104404043 | 10440404 | 14 | C | PANTOPRAZOL | PANTOPRAZOLE SODIUM | 1 | Oral | 0 | 40 | MG | QOD | ||||||||
104404043 | 10440404 | 15 | C | IRINOTECAN | IRINOTECAN | 1 | Intravenous (not otherwise specified) | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 16 | C | IRINOTECAN | IRINOTECAN | 1 | Intravenous (not otherwise specified) | 0 | 420 | MG | |||||||||
104404043 | 10440404 | 17 | C | METOPROLOL. | METOPROLOL | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
104404043 | 10440404 | 1 | Colorectal cancer |
104404043 | 10440404 | 3 | Colorectal cancer |
104404043 | 10440404 | 13 | Deep vein thrombosis |
104404043 | 10440404 | 14 | Prophylaxis against gastrointestinal ulcer |
104404043 | 10440404 | 15 | Colorectal cancer |
104404043 | 10440404 | 17 | Hypertension |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
104404043 | 10440404 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
104404043 | 10440404 | Abdominal pain | |
104404043 | 10440404 | Cystitis haemorrhagic | |
104404043 | 10440404 | Gastrointestinal haemorrhage | |
104404043 | 10440404 | Gastrointestinal oedema | |
104404043 | 10440404 | Haematuria | |
104404043 | 10440404 | Hypokalaemia |
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 |
---|---|---|---|---|---|---|
104404043 | 10440404 | 1 | 20130220 | 20130220 | 0 | |
104404043 | 10440404 | 2 | 20130403 | 20130403 | 0 | |
104404043 | 10440404 | 3 | 20130109 | 20130122 | 0 | |
104404043 | 10440404 | 4 | 20130220 | 20130305 | 0 | |
104404043 | 10440404 | 5 | 20130130 | 20130212 | 0 | |
104404043 | 10440404 | 6 | 20130314 | 20130327 | 0 | |
104404043 | 10440404 | 7 | 20130403 | 20130416 | 0 | |
104404043 | 10440404 | 8 | 20130109 | 20130109 | 0 | |
104404043 | 10440404 | 9 | 20130130 | 20130130 | 0 | |
104404043 | 10440404 | 10 | 20130220 | 20130220 | 0 | |
104404043 | 10440404 | 11 | 20130314 | 20130314 | 0 | |
104404043 | 10440404 | 12 | 20130403 | 20130403 | 0 | |
104404043 | 10440404 | 15 | 20130109 | 20130403 | 0 | |
104404043 | 10440404 | 16 | 20120220 | 0 |