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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114296752 | 11429675 | 2 | F | 20160509 | 20150828 | 20160816 | PER | US-ROCHE-1258474 | ROCHE | 54.00 | YR | M | Y | 0.00000 | 20160816 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114296752 | 11429675 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | MOST RECENT DOSE RECEIVED ON 22/OCT/2010 | U | 103964 | SOLUTION FOR INJECTION | ||||||||
| 114296752 | 11429675 | 2 | SS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | 180 MCG/ML | U | 103964 | |||||||||
| 114296752 | 11429675 | 3 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Unknown | AS PER RX FIRST DOSE ON 03/NOV/2009, MOST RECENT DOSE RECEIVED ON 19/OCT/2010 | U | 21511 | 200 | MG | CAPSULE | ||||||
| 114296752 | 11429675 | 4 | C | TRIAMCINOLONE | TRIAMCINOLONE | 1 | Unknown | 0 | CREAM | ||||||||||
| 114296752 | 11429675 | 5 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | 0 | 20 | MG | CAPSULE | ||||||||
| 114296752 | 11429675 | 6 | C | SUBOXONE | BUPRENORPHINE HYDROCHLORIDENALOXONE HYDROCHLORIDE | 1 | Unknown | 2 TO 8 MG, MOST RECENT DOSE ON 24/JUN/2010 | 0 | TABLET | |||||||||
| 114296752 | 11429675 | 7 | C | AMLODIPINE BESYLATE. | AMLODIPINE BESYLATE | 1 | Unknown | MOST RECENT DOSE 02/AUG/2010 | 0 | 5 | MG | TABLET | |||||||
| 114296752 | 11429675 | 8 | C | PROVIGIL | MODAFINIL | 1 | Unknown | 0 | 200 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 9 | C | SERTRALINE HCL | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 0 | 50 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 10 | C | SERTRALINE HCL | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 0 | 100 | MG | |||||||||
| 114296752 | 11429675 | 11 | C | PREVIDENT 5000 PLUS | 2 | Unknown | 0 | ||||||||||||
| 114296752 | 11429675 | 12 | C | LYRICA | PREGABALIN | 1 | Unknown | 0 | 75 | MG | CAPSULE | ||||||||
| 114296752 | 11429675 | 13 | C | NUVIGIL | ARMODAFINIL | 1 | Unknown | 0 | 150 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 14 | C | RITALIN LA | METHYLPHENIDATE HYDROCHLORIDE | 1 | Unknown | MOST RECENT DOSE 24/JUN/2010 | 0 | 20 | MG | CAPSULE | |||||||
| 114296752 | 11429675 | 15 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | 0 | 30 | MG | CAPSULE | ||||||||
| 114296752 | 11429675 | 16 | C | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | Unknown | 0 | 500 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 17 | C | POLYETHYLENE GLYCOL | POLYETHYLENE GLYCOLS | 1 | Unknown | 3350 POWD | 0 | ||||||||||
| 114296752 | 11429675 | 18 | C | CVS SENNA-C PLUS | 2 | Unknown | 0 | TABLET | |||||||||||
| 114296752 | 11429675 | 19 | C | PROVENTIL HFA | ALBUTEROL SULFATE | 1 | Unknown | INHALER | 0 | 90 | UG/KG | ||||||||
| 114296752 | 11429675 | 20 | C | MUCINEX DM | DEXTROMETHORPHAN HYDROBROMIDEGUAIFENESIN | 1 | Unknown | ER 30 TO 600 MG | 0 | TABLET | |||||||||
| 114296752 | 11429675 | 21 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 22 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Unknown | 0 | 50 | MG | TABLET | ||||||||
| 114296752 | 11429675 | 23 | C | INTEGRA PLUS | ASCORBIC ACIDBIOTINCALCIUM PANTOTHENATEFERROUS ASPARTO GLYCINATEFERROUS FUMARATEFOLIC ACIDNIACINPYRIDOXINE HYDROCHLORIDERIBOFLAVINTHIAMINE MONONITRATE | 1 | Unknown | 0 | CAPSULE | ||||||||||
| 114296752 | 11429675 | 24 | C | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | Unknown | 0 | 100 | MG | CAPSULE | ||||||||
| 114296752 | 11429675 | 25 | C | ZOLPIDEM TARTRATE. | ZOLPIDEM TARTRATE | 1 | Unknown | 0 | 10 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114296752 | 11429675 | 1 | Hepatitis C |
| 114296752 | 11429675 | 3 | Hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114296752 | 11429675 | Arthralgia | |
| 114296752 | 11429675 | Dental caries | |
| 114296752 | 11429675 | Eye disorder | |
| 114296752 | 11429675 | Fibromyalgia | |
| 114296752 | 11429675 | Oral pain | |
| 114296752 | 11429675 | Tooth discolouration |
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 |
|---|---|---|---|---|---|---|
| 114296752 | 11429675 | 1 | 200912 | 0 | ||
| 114296752 | 11429675 | 2 | 20091103 | 201012 | 0 | |
| 114296752 | 11429675 | 3 | 200912 | 201012 | 0 | |
| 114296752 | 11429675 | 4 | 20100113 | 0 | ||
| 114296752 | 11429675 | 5 | 20090601 | 0 | ||
| 114296752 | 11429675 | 6 | 20090617 | 0 | ||
| 114296752 | 11429675 | 7 | 20090623 | 0 | ||
| 114296752 | 11429675 | 8 | 20090626 | 0 | ||
| 114296752 | 11429675 | 9 | 20090706 | 0 | ||
| 114296752 | 11429675 | 11 | 20090806 | 0 | ||
| 114296752 | 11429675 | 12 | 20090811 | 0 | ||
| 114296752 | 11429675 | 13 | 20090929 | 0 | ||
| 114296752 | 11429675 | 14 | 20091203 | 0 | ||
| 114296752 | 11429675 | 15 | 20100113 | 0 | ||
| 114296752 | 11429675 | 16 | 20100316 | 0 | ||
| 114296752 | 11429675 | 17 | 20100316 | 0 | ||
| 114296752 | 11429675 | 18 | 20100316 | 0 | ||
| 114296752 | 11429675 | 19 | 20100316 | 0 | ||
| 114296752 | 11429675 | 20 | 20100316 | 0 | ||
| 114296752 | 11429675 | 21 | 20100316 | 0 | ||
| 114296752 | 11429675 | 22 | 20100528 | 0 | ||
| 114296752 | 11429675 | 23 | 20100623 | 0 | ||
| 114296752 | 11429675 | 24 | 20100802 | 0 |