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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124411593 | 12441159 | 3 | F | 20140704 | 20160708 | 20160607 | 20160711 | EXP | DE-ROCHE-1482337 | ROCHE | 50.00 | YR | F | Y | 83.70000 | KG | 20160711 | MD | DE | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124411593 | 12441159 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | LAST DOSE PRIOR TOSAE: 04/JUL/2014 | Y | 125085 | 847 | MG | QOW | ||||||
| 124411593 | 12441159 | 2 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | LAST DOSE PRIOR TO SAE: 15/AUG/2014 | Y | 125085 | 820 | MG | QOW | ||||||
| 124411593 | 12441159 | 3 | SS | PACLITAXEL. | PACLITAXEL | 1 | Intravenous (not otherwise specified) | LAST DOSE PRIOR TO SAE: 04/JUL/2014 | U | 0 | 176 | MG | /wk | ||||||
| 124411593 | 12441159 | 4 | SS | PACLITAXEL. | PACLITAXEL | 1 | Intravenous (not otherwise specified) | ALSO RECEIVED ON 22/AUG/2014 | U | 0 | 174 | MG | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124411593 | 12441159 | 1 | Breast cancer |
| 124411593 | 12441159 | 3 | Breast cancer |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124411593 | 12441159 | LT |
| 124411593 | 12441159 | HO |
| 124411593 | 12441159 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124411593 | 12441159 | Diverticulum intestinal | |
| 124411593 | 12441159 | Hypertension | |
| 124411593 | 12441159 | Intestinal perforation | |
| 124411593 | 12441159 | Large intestinal stenosis |
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 |
|---|---|---|---|---|---|---|
| 124411593 | 12441159 | 1 | 20140327 | 0 | ||
| 124411593 | 12441159 | 2 | 20140815 | 20140815 | 0 | |
| 124411593 | 12441159 | 3 | 20140327 | 20140801 | 0 | |
| 124411593 | 12441159 | 4 | 20140815 | 0 |