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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125779361 | 12577936 | 1 | I | 20160509 | 20160718 | 20160721 | 20160721 | EXP | FR-ROCHE-1796749 | ROCHE | 80.00 | YR | F | Y | 0.00000 | 20160721 | MD | FR | FR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125779361 | 12577936 | 1 | PS | MABTHERA | RITUXIMAB | 1 | Subcutaneous | U | 103705 | SOLUTION FOR INJECTION | |||||||||
125779361 | 12577936 | 2 | SS | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Oral | U | 0 | ||||||||||
125779361 | 12577936 | 3 | SS | ALDARA | IMIQUIMOD | 1 | Topical | U | 0 | 1 | DF | QD | |||||||
125779361 | 12577936 | 4 | SS | IMBRUVICA | IBRUTINIB | 1 | Oral | U | 0 | ||||||||||
125779361 | 12577936 | 5 | SS | ZELITREX | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | U | 0 | ||||||||||
125779361 | 12577936 | 6 | SS | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | U | 0 | ||||||||||
125779361 | 12577936 | 7 | C | SERETIDE | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
125779361 | 12577936 | 8 | C | AMLOR | AMLODIPINE BESYLATE | 1 | Unknown | 1 TAB PER DAY THEN AT 2 TABLETS / DAY | 0 | TABLET | |||||||||
125779361 | 12577936 | 9 | C | BENDAMUSTINE | BENDAMUSTINE | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 10 | C | CYCLOPHOSPHAMIDE. | CYCLOPHOSPHAMIDE | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 11 | C | DOXORUBICIN | DOXORUBICIN | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 12 | C | VINCRISTINE | VINCRISTINE | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 13 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 14 | C | CYTARABINE. | CYTARABINE | 1 | Unknown | 0 | |||||||||||
125779361 | 12577936 | 15 | C | DEXAMETHASONE. | DEXAMETHASONE | 1 | Unknown | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125779361 | 12577936 | 1 | Lymphoma |
125779361 | 12577936 | 2 | Product used for unknown indication |
125779361 | 12577936 | 3 | Bowen's disease |
125779361 | 12577936 | 4 | Lymphoma |
125779361 | 12577936 | 5 | Product used for unknown indication |
125779361 | 12577936 | 6 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125779361 | 12577936 | HO |
125779361 | 12577936 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125779361 | 12577936 | Diarrhoea | |
125779361 | 12577936 | Dry mouth | |
125779361 | 12577936 | Fatigue | |
125779361 | 12577936 | Headache | |
125779361 | 12577936 | Insomnia | |
125779361 | 12577936 | Nausea | |
125779361 | 12577936 | Seizure | |
125779361 | 12577936 | Tinnitus | |
125779361 | 12577936 | Vertigo |
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 |
---|---|---|---|---|---|---|
125779361 | 12577936 | 1 | 201503 | 0 | ||
125779361 | 12577936 | 3 | 20160503 | 20160524 | 0 | |
125779361 | 12577936 | 4 | 201505 | 0 | ||
125779361 | 12577936 | 9 | 201505 | 0 | ||
125779361 | 12577936 | 10 | 201503 | 0 | ||
125779361 | 12577936 | 11 | 201503 | 0 | ||
125779361 | 12577936 | 12 | 201503 | 0 | ||
125779361 | 12577936 | 13 | 201503 | 0 | ||
125779361 | 12577936 | 14 | 201503 | 0 | ||
125779361 | 12577936 | 15 | 201503 | 0 |