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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113687052 | 11368705 | 2 | F | 20150731 | 20160914 | 20150812 | 20160917 | PER | PHEH2015US014993 | NOVARTIS | 13.68 | YR | M | Y | 0.00000 | 20160917 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113687052 | 11368705 | 1 | PS | AFINITOR | EVEROLIMUS | 1 | Oral | 10.0 MG, QD | 22334 | 10 | MG | QD | |||||||
| 113687052 | 11368705 | 2 | C | LAMICTAL | LAMOTRIGINE | 1 | Unknown | U | 0 | ||||||||||
| 113687052 | 11368705 | 3 | C | DIASTAT /01384601/ | 2 | Unknown | UNK UNK, PRN | U | 0 | ||||||||||
| 113687052 | 11368705 | 4 | C | MAGIC MOUTHWASH | DIPHENHYDRAMINE HYDROCHLORIDELIDOCAINE HYDROCHLORIDENYSTATIN | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 113687052 | 11368705 | 1 | Brain neoplasm |
| 113687052 | 11368705 | 2 | Product used for unknown indication |
| 113687052 | 11368705 | 3 | Product used for unknown indication |
| 113687052 | 11368705 | 4 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 113687052 | 11368705 | Abnormal behaviour | |
| 113687052 | 11368705 | Rash |
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 |
|---|---|---|---|---|---|---|
| 113687052 | 11368705 | 1 | 20121114 | 0 |