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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119290475 | 11929047 | 5 | F | 20160129 | 20160817 | 20160120 | 20160824 | EXP | US-ROCHE-1695894 | ROCHE | 17.04 | YR | F | Y | 46.00000 | KG | 20160824 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119290475 | 11929047 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | U | 103964 | 270 | UG | /wk | |||||||
| 119290475 | 11929047 | 2 | SS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | U | 103964 | 270 | MG | /wk | |||||||
| 119290475 | 11929047 | 3 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | Oral | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119290475 | 11929047 | 1 | Malignant melanoma |
| 119290475 | 11929047 | 3 | Depression |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119290475 | 11929047 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119290475 | 11929047 | Autoimmune thyroiditis | |
| 119290475 | 11929047 | Hypothyroidism | |
| 119290475 | 11929047 | Menstruation delayed | |
| 119290475 | 11929047 | Mental disorder | |
| 119290475 | 11929047 | Panic attack | |
| 119290475 | 11929047 | 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 |
|---|---|---|---|---|---|---|
| 119290475 | 11929047 | 1 | 20151117 | 201607 | 0 | |
| 119290475 | 11929047 | 2 | 20151211 | 0 | ||
| 119290475 | 11929047 | 3 | 201601 | 0 |