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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121823092 | 12182309 | 2 | F | 20151203 | 20160726 | 20160316 | 20160728 | EXP | FR-ROCHE-1724886 | ROCHE | 0.00 | M | Y | 66.00000 | KG | 20160728 | MD | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121823092 | 12182309 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | DATE OF LAST DOSE PRIOR TO SAE WAS ON: 12/NOV/2015 (525 MG) | Y | 125085 | SOLUTION FOR INFUSION | ||||||||
| 121823092 | 12182309 | 2 | SS | CARBOPLATINE | CARBOPLATIN | 1 | Intravenous (not otherwise specified) | DATE OF LAST DOSE PRIOR TO SAE WAS ON: 22/OCT/2015 (464 MG) | U | 0 | |||||||||
| 121823092 | 12182309 | 3 | SS | ALIMTA | PEMETREXED DISODIUM | 1 | Intravenous (not otherwise specified) | DATE OF LAST DOSE PRIOR TO SAE WAS ON: 22/OCT/2015 (960) | Y | 0 | |||||||||
| 121823092 | 12182309 | 4 | SS | BISOPROLOL | BISOPROLOL | 1 | Oral | Y | 0 | 10 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121823092 | 12182309 | 1 | Ovarian cancer |
| 121823092 | 12182309 | 2 | Ovarian cancer |
| 121823092 | 12182309 | 3 | Ovarian cancer |
| 121823092 | 12182309 | 4 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121823092 | 12182309 | HO |
| 121823092 | 12182309 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121823092 | 12182309 | Confusional state | |
| 121823092 | 12182309 | General physical health deterioration | |
| 121823092 | 12182309 | Hypotension |
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 |
|---|---|---|---|---|---|---|
| 121823092 | 12182309 | 1 | 20150910 | 0 | ||
| 121823092 | 12182309 | 2 | 20150820 | 0 | ||
| 121823092 | 12182309 | 3 | 20150820 | 0 | ||
| 121823092 | 12182309 | 4 | 20100123 | 20151230 | 0 |