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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104831573 | 10483157 | 3 | F | 20110106 | 20140930 | 20160810 | EXP | US-ROCHE-1421432 | ROCHE | 0.00 | M | Y | 99.88000 | KG | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104831573 | 10483157 | 1 | PS | NUTROPIN AQ | SOMATROPIN | 1 | Subcutaneous | U | 20522 | .2 | MG | SOLUTION FOR INJECTION | QD | ||||||
| 104831573 | 10483157 | 2 | SS | NUTROPIN AQ | SOMATROPIN | 1 | Subcutaneous | U | 20522 | .4 | MG | SOLUTION FOR INJECTION | |||||||
| 104831573 | 10483157 | 3 | SS | VALIUM | DIAZEPAM | 1 | Unknown | U | 13263 | ||||||||||
| 104831573 | 10483157 | 4 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | 175 | UG | |||||||||
| 104831573 | 10483157 | 5 | C | CORTEF | HYDROCORTISONE | 1 | Unknown | 0 | 20 | MG | QD | ||||||||
| 104831573 | 10483157 | 6 | C | CORTEF | HYDROCORTISONE | 1 | Unknown | 0 | 10 | MG | QD | ||||||||
| 104831573 | 10483157 | 7 | C | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | Unknown | 0 | 450 | MG | /month | ||||||||
| 104831573 | 10483157 | 8 | C | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | Unknown | 0 | 200 | MG | /month | ||||||||
| 104831573 | 10483157 | 9 | C | DEPO-TESTOSTERONE | TESTOSTERONE CYPIONATE | 1 | Unknown | 0 | 250 | MG | BIW | ||||||||
| 104831573 | 10483157 | 10 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | 0 | 20 | MG | QD | ||||||||
| 104831573 | 10483157 | 11 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | 0 | 10 | MG | QD | ||||||||
| 104831573 | 10483157 | 12 | C | LEVOXYL | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | 125 | UG | QD | ||||||||
| 104831573 | 10483157 | 13 | C | FLORINEF ACETATE | FLUDROCORTISONE ACETATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 104831573 | 10483157 | 1 | Growth hormone deficiency |
| 104831573 | 10483157 | 2 | Hypopituitarism |
| 104831573 | 10483157 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 104831573 | 10483157 | HO |
| 104831573 | 10483157 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104831573 | 10483157 | Anaphylactic reaction | |
| 104831573 | 10483157 | Asthenia | |
| 104831573 | 10483157 | Dizziness | |
| 104831573 | 10483157 | Extra dose administered | |
| 104831573 | 10483157 | Fatigue | |
| 104831573 | 10483157 | Headache | |
| 104831573 | 10483157 | Hypotension | |
| 104831573 | 10483157 | Lethargy | |
| 104831573 | 10483157 | Medication error | |
| 104831573 | 10483157 | Polycythaemia | |
| 104831573 | 10483157 | Road traffic accident | |
| 104831573 | 10483157 | 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 |
|---|---|---|---|---|---|---|
| 104831573 | 10483157 | 1 | 20060724 | 0 | ||
| 104831573 | 10483157 | 10 | 2010 | 0 | ||
| 104831573 | 10483157 | 11 | 2010 | 0 |