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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123388704 | 12338870 | 4 | F | 20160425 | 20160819 | 20160505 | 20160831 | EXP | US-CELGENEUS-USA-2016048256 | CELGENE | 73.25 | YR | F | Y | 86.71000 | KG | 20160831 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123388704 | 12338870 | 1 | PS | THALOMID | THALIDOMIDE | 1 | Oral | 50 MILLIGRAM | U | B0028AH | 20785 | 50 | MG | CAPSULES | |||||
123388704 | 12338870 | 2 | C | Multivitamins | VITAMINS | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 3 | C | QUALAQUIN | QUININE SULFATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 4 | C | Selenium | SELENIUM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 5 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 6 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 7 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 8 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 9 | C | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 10 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 11 | C | Metformin HCL | METFORMIN HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 12 | C | METOPROLOL SUCCINATE. | METOPROLOL SUCCINATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 13 | C | PIOGLITAZONE. | PIOGLITAZONE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 14 | C | ACYCLOVIR. | ACYCLOVIR | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 15 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 16 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | 2.5 | 0 | UNKNOWN | |||||||||
123388704 | 12338870 | 17 | C | Glucosamine-Chondroitin | CHONDROITIN SULFATE (BOVINE)GLUCOSAMINE SULFATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
123388704 | 12338870 | 18 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
123388704 | 12338870 | 1 | Myelodysplastic syndrome |
123388704 | 12338870 | 2 | Product used for unknown indication |
123388704 | 12338870 | 3 | Product used for unknown indication |
123388704 | 12338870 | 4 | Product used for unknown indication |
123388704 | 12338870 | 5 | Product used for unknown indication |
123388704 | 12338870 | 6 | Product used for unknown indication |
123388704 | 12338870 | 7 | Product used for unknown indication |
123388704 | 12338870 | 8 | Product used for unknown indication |
123388704 | 12338870 | 9 | Supplementation therapy |
123388704 | 12338870 | 10 | Hypertension |
123388704 | 12338870 | 11 | Type 2 diabetes mellitus |
123388704 | 12338870 | 12 | Hypertension |
123388704 | 12338870 | 13 | Type 2 diabetes mellitus |
123388704 | 12338870 | 14 | Product used for unknown indication |
123388704 | 12338870 | 15 | Product used for unknown indication |
123388704 | 12338870 | 16 | Product used for unknown indication |
123388704 | 12338870 | 17 | Supplementation therapy |
123388704 | 12338870 | 18 | Prophylaxis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
123388704 | 12338870 | OT |
123388704 | 12338870 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
123388704 | 12338870 | Death | |
123388704 | 12338870 | Macular degeneration | |
123388704 | 12338870 | Peripheral swelling |
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 |
---|---|---|---|---|---|---|
123388704 | 12338870 | 1 | 20151029 | 0 |