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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114028962 | 11402896 | 2 | F | 20160211 | 20150821 | 20160816 | PER | US-ROCHE-1304021 | ROCHE | 63.00 | YR | M | Y | 0.00000 | 20160816 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114028962 | 11402896 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | U | 103964 | ||||||||||
| 114028962 | 11402896 | 2 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Unknown | U | 21511 | ||||||||||
| 114028962 | 11402896 | 3 | SS | TELAPREVIR | TELAPREVIR | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114028962 | 11402896 | 1 | Hepatitis C |
| 114028962 | 11402896 | 2 | Hepatitis C |
| 114028962 | 11402896 | 3 | Hepatitis C |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 114028962 | 11402896 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114028962 | 11402896 | Depression | |
| 114028962 | 11402896 | Suicidal ideation |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |