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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104725079 | 10472507 | 9 | F | 20130502 | 20160914 | 20140924 | 20160920 | EXP | PHHY2012CA033545 | NOVARTIS | 62.44 | YR | M | Y | 0.00000 | 20160920 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104725079 | 10472507 | 1 | PS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | 30 MG, EVERY 3 WEEKS | U | 21008 | 30 | MG | Q3W | ||||||
| 104725079 | 10472507 | 2 | SS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | 40 MG, EVERY 3 WEEKS | U | 21008 | 40 | MG | Q3W |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 104725079 | 10472507 | 1 | Pancreatitis chronic |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 104725079 | 10472507 | OT |
| 104725079 | 10472507 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104725079 | 10472507 | Abdominal pain | |
| 104725079 | 10472507 | Abdominal pain upper | |
| 104725079 | 10472507 | Blood pressure decreased | |
| 104725079 | 10472507 | Blood pressure increased | |
| 104725079 | 10472507 | Bronchitis | |
| 104725079 | 10472507 | Cardiac disorder | |
| 104725079 | 10472507 | Diarrhoea | |
| 104725079 | 10472507 | Inappropriate schedule of drug administration | |
| 104725079 | 10472507 | Lung disorder | |
| 104725079 | 10472507 | Malaise | |
| 104725079 | 10472507 | Pancreatic neoplasm | |
| 104725079 | 10472507 | Pneumonia | |
| 104725079 | 10472507 | Product use issue | |
| 104725079 | 10472507 | Secretion discharge | |
| 104725079 | 10472507 | Weight 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 |
|---|---|---|---|---|---|---|
| 104725079 | 10472507 | 1 | 20111006 | 0 |