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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125294392 | 12529439 | 2 | F | 20160622 | 20160727 | 20160706 | 20160801 | EXP | US-ROCHE-1787702 | ROCHE | 41.76 | YR | M | Y | 81.72000 | KG | 20160801 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125294392 | 12529439 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | N | UNKNOWN | 103976 | 350 | MG | SOLUTION FOR INJECTION | ||||||
| 125294392 | 12529439 | 2 | SS | KLONOPIN | CLONAZEPAM | 1 | Oral | AS REQUIRED | U | 17533 | 1 | MG | TABLET | ||||||
| 125294392 | 12529439 | 3 | C | ALLEGRA | FEXOFENADINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125294392 | 12529439 | 1 | Chronic spontaneous urticaria |
| 125294392 | 12529439 | 2 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125294392 | 12529439 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125294392 | 12529439 | Anxiety | |
| 125294392 | 12529439 | Blood pressure fluctuation | |
| 125294392 | 12529439 | Chest pain | |
| 125294392 | 12529439 | Dizziness | |
| 125294392 | 12529439 | Dyspnoea | |
| 125294392 | 12529439 | Malaise | |
| 125294392 | 12529439 | Myalgia | |
| 125294392 | 12529439 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 125294392 | 12529439 | 1 | 20160615 | 0 |