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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107541674 | 10754167 | 4 | F | 20150105 | 20160823 | 20150202 | 20160905 | EXP | US-ROCHE-1526354 | ROCHE | 66.00 | YR | F | Y | 79.90000 | KG | 20160905 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107541674 | 10754167 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | INDUCTION: DAY 1 OF CYCLES 1-4 (CYCLE=21 DAYS), LAST ADMINISTERED DATE: 02/APR/2015 | U | 1147508 | 125085 | 15 | MG/KG | SOLUTION FOR INFUSION | |||||
| 107541674 | 10754167 | 2 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | DAY 1 OF CYCLES 1-4 (CYCLE=21 DAYS), LAST ADMINISTERED DATE: 18/FEB/2015 | U | 2G70541 | 0 | 3 | MG/KG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 107541674 | 10754167 | 1 | Malignant melanoma |
| 107541674 | 10754167 | 2 | Malignant melanoma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 107541674 | 10754167 | OT |
| 107541674 | 10754167 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 107541674 | 10754167 | Dehydration | |
| 107541674 | 10754167 | Hypertension | |
| 107541674 | 10754167 | Lipase | |
| 107541674 | 10754167 | Lipase increased | |
| 107541674 | 10754167 | Pancreatitis | |
| 107541674 | 10754167 | Stomatitis |
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 |
|---|---|---|---|---|---|---|
| 107541674 | 10754167 | 1 | 20141218 | 0 | ||
| 107541674 | 10754167 | 2 | 20141218 | 0 |