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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125740041 | 12574004 | 1 | I | 20160715 | 20160720 | 20160720 | EXP | CA-RECORDATI RARE DISEASES-CA-R13005-16-00190 | RECORDATI | 0.00 | F | Y | 0.00000 | 20160720 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125740041 | 12574004 | 1 | PS | Dactinomycin | DACTINOMYCIN | 1 | Intravenous (not otherwise specified) | 50682 | UNKNOWN | ||||||||||
| 125740041 | 12574004 | 2 | SS | CYCLOPHOSPHAMIDE. | CYCLOPHOSPHAMIDE | 1 | Intravenous (not otherwise specified) | 0 | UNKNOWN | ||||||||||
| 125740041 | 12574004 | 3 | SS | VINCRISTINE | VINCRISTINE | 1 | Intravenous (not otherwise specified) | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125740041 | 12574004 | 1 | Teratoma |
| 125740041 | 12574004 | 2 | Teratoma |
| 125740041 | 12574004 | 3 | Teratoma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125740041 | 12574004 | HO |
| 125740041 | 12574004 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125740041 | 12574004 | Dehydration | |
| 125740041 | 12574004 | Off label use |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |