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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118620282 | 11862028 | 2 | F | 20160224 | 20151222 | 20160816 | PER | US-ROCHE-1036178 | ROCHE | 0.00 | F | Y | 0.00000 | 20160816 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118620282 | 11862028 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | U | 103964 | SOLUTION FOR INJECTION | |||||||||
| 118620282 | 11862028 | 2 | I | COPEGUS | RIBAVIRIN | 1 | Unknown | 21511 | TABLET | ||||||||||
| 118620282 | 11862028 | 3 | SS | SOVALDI | SOFOSBUVIR | 1 | Unknown | U | 0 | ||||||||||
| 118620282 | 11862028 | 4 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | 40 MG 1 CAPS DR DAILY FOR 30 DAYS | 0 | 40 | MG | CAPSULE | QD | ||||||
| 118620282 | 11862028 | 5 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | 0 | 18 | UG | CAPSULE | QD | |||||||
| 118620282 | 11862028 | 6 | C | LEVOTHYROXINE SODIUM. | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | 25 | UG | TABLET | QD | |||||||
| 118620282 | 11862028 | 7 | C | CRANBERRY. | CRANBERRY | 1 | Unknown | 0 | |||||||||||
| 118620282 | 11862028 | 8 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 115-21MCG/ACT 2 INHALANT TWICE DAILY | 0 | ||||||||||
| 118620282 | 11862028 | 9 | C | MERCAPTOPURINE. | MERCAPTOPURINE | 1 | Unknown | 0 | 50 | MG | |||||||||
| 118620282 | 11862028 | 10 | C | LYRICA | PREGABALIN | 1 | Unknown | 0 | |||||||||||
| 118620282 | 11862028 | 11 | C | BISOPROLOL | BISOPROLOL | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118620282 | 11862028 | 1 | Product used for unknown indication |
| 118620282 | 11862028 | 2 | Product used for unknown indication |
| 118620282 | 11862028 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 118620282 | 11862028 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118620282 | 11862028 | Feeling hot | |
| 118620282 | 11862028 | Pruritus | |
| 118620282 | 11862028 | Scratch | |
| 118620282 | 11862028 | Suicidal ideation |
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 |
|---|---|---|---|---|---|---|
| 118620282 | 11862028 | 3 | 20140801 | 0 | ||
| 118620282 | 11862028 | 4 | 20160212 | 0 | ||
| 118620282 | 11862028 | 5 | 20140424 | 0 | ||
| 118620282 | 11862028 | 6 | 20140401 | 0 | ||
| 118620282 | 11862028 | 7 | 20140401 | 0 | ||
| 118620282 | 11862028 | 8 | 20140401 | 0 | ||
| 118620282 | 11862028 | 9 | 20110830 | 0 | ||
| 118620282 | 11862028 | 10 | 20110830 | 0 | ||
| 118620282 | 11862028 | 11 | 20110830 | 0 |