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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
111343892 | 11134389 | 2 | F | 20150430 | 20160823 | 20150525 | 20160905 | EXP | US-ROCHE-1581082 | ROCHE | 40.00 | YR | M | Y | 131.00000 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
111343892 | 11134389 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 1. | U | 125085 | 2040 | MG | INFUSION | ||||||
111343892 | 11134389 | 2 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 5 | U | 125085 | 1929 | MG | INFUSION | ||||||
111343892 | 11134389 | 3 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 6 | U | 125085 | 1950 | MG | INFUSION | ||||||
111343892 | 11134389 | 4 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 7 | U | 125085 | 1958 | MG | INFUSION | ||||||
111343892 | 11134389 | 5 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 4 | U | 125085 | 1860 | MG | INFUSION | ||||||
111343892 | 11134389 | 6 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 14 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 7 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 15 | U | 125085 | 2040 | MG | INFUSION | ||||||
111343892 | 11134389 | 8 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 16 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 9 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 17 | U | 125085 | 1995 | MG | INFUSION | ||||||
111343892 | 11134389 | 10 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 18 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 11 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 19 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 12 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 20 | U | 125085 | 2010 | MG | INFUSION | ||||||
111343892 | 11134389 | 13 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 12 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 14 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 13 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 15 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 8 | U | 125085 | 1977 | MG | INFUSION | ||||||
111343892 | 11134389 | 16 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 9 | U | 125085 | 1950 | MG | INFUSION | ||||||
111343892 | 11134389 | 17 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 10 | U | 125085 | 1965 | MG | INFUSION | ||||||
111343892 | 11134389 | 18 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 11 | U | 125085 | 2025 | MG | INFUSION | ||||||
111343892 | 11134389 | 19 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 02 | U | 125085 | 2040 | MG | INFUSION | ||||||
111343892 | 11134389 | 20 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 1. | Y | 0 | 408 | MG | |||||||
111343892 | 11134389 | 21 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 4. | Y | 0 | 372 | MG | |||||||
111343892 | 11134389 | 22 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 16. | Y | 0 | 405 | MG | |||||||
111343892 | 11134389 | 23 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 20. | Y | 0 | 402 | MG | |||||||
111343892 | 11134389 | 24 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 3. | Y | 0 | 393 | MG | |||||||
111343892 | 11134389 | 25 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 12. | Y | 0 | 405 | MG | |||||||
111343892 | 11134389 | 26 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 2. | Y | 0 | 408 | MG | |||||||
111343892 | 11134389 | 27 | SS | IPILIMUMAB | IPILIMUMAB | 1 | Intravenous (not otherwise specified) | COURSE 8. | Y | 0 | 395 | MG | |||||||
111343892 | 11134389 | 28 | C | HCTZ | HYDROCHLOROTHIAZIDE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
111343892 | 11134389 | 1 | Malignant melanoma |
111343892 | 11134389 | 20 | Malignant melanoma |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
111343892 | 11134389 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
111343892 | 11134389 | Hypertension | |
111343892 | 11134389 | Hyperuricaemia |
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 |
---|---|---|---|---|---|---|
111343892 | 11134389 | 1 | 20150319 | 0 | ||
111343892 | 11134389 | 2 | 20150611 | 0 | ||
111343892 | 11134389 | 3 | 20150702 | 0 | ||
111343892 | 11134389 | 4 | 20150727 | 0 | ||
111343892 | 11134389 | 5 | 20150521 | 0 | ||
111343892 | 11134389 | 6 | 20151217 | 0 | ||
111343892 | 11134389 | 7 | 20160114 | 0 | ||
111343892 | 11134389 | 8 | 20160201 | 0 | ||
111343892 | 11134389 | 9 | 20160303 | 0 | ||
111343892 | 11134389 | 10 | 20160323 | 0 | ||
111343892 | 11134389 | 11 | 20160413 | 0 | ||
111343892 | 11134389 | 12 | 20160505 | 0 | ||
111343892 | 11134389 | 13 | 20151104 | 0 | ||
111343892 | 11134389 | 14 | 20151125 | 0 | ||
111343892 | 11134389 | 15 | 20150814 | 0 | ||
111343892 | 11134389 | 16 | 20150903 | 0 | ||
111343892 | 11134389 | 17 | 20150924 | 0 | ||
111343892 | 11134389 | 18 | 20151014 | 0 | ||
111343892 | 11134389 | 19 | 20150409 | 0 | ||
111343892 | 11134389 | 20 | 20150319 | 0 | ||
111343892 | 11134389 | 21 | 20150521 | 0 | ||
111343892 | 11134389 | 22 | 20160201 | 0 | ||
111343892 | 11134389 | 23 | 20160505 | 0 | ||
111343892 | 11134389 | 24 | 20150430 | 0 | ||
111343892 | 11134389 | 25 | 20151104 | 0 | ||
111343892 | 11134389 | 26 | 20150409 | 0 | ||
111343892 | 11134389 | 27 | 20150814 | 0 |