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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124708682 | 12470868 | 2 | F | 20160509 | 20160713 | 20160616 | 20160714 | EXP | RO-ROCHE-1762587 | ROCHE | 61.32 | YR | F | Y | 90.00000 | KG | 20160714 | MD | RO | RO |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124708682 | 12470868 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | Y | 103964 | 180 | UG | SOLUTION FOR INJECTION | /wk | ||||||
| 124708682 | 12470868 | 2 | SS | MODERIBA | RIBAVIRIN | 1 | Oral | Y | 0 | 600 | MG | BID | |||||||
| 124708682 | 12470868 | 3 | C | ALGOCALMIN | METAMIZOLE SODIUM | 1 | Intravenous (not otherwise specified) | 1 VIAL | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124708682 | 12470868 | 1 | Hepatitis C |
| 124708682 | 12470868 | 2 | Hepatitis C |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124708682 | 12470868 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124708682 | 12470868 | Malaise | |
| 124708682 | 12470868 | Nausea | |
| 124708682 | 12470868 | Rash | |
| 124708682 | 12470868 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 124708682 | 12470868 | 1 | 20160509 | 20160509 | 0 | |
| 124708682 | 12470868 | 2 | 20160509 | 20160510 | 0 | |
| 124708682 | 12470868 | 3 | 20160509 | 20160510 | 0 |