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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125816656 | 12581665 | 6 | F | 201602 | 20160824 | 20160722 | 20160826 | EXP | US-ROCHE-1770663 | ROCHE | 80.11 | YR | M | Y | 76.73000 | KG | 20160826 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125816656 | 12581665 | 1 | PS | ESBRIET | PIRFENIDONE | 1 | Oral | 3029586 | 22535 | 801 | MG | CAPSULE | TID | ||||||
| 125816656 | 12581665 | 2 | SS | ESBRIET | PIRFENIDONE | 1 | Oral | 3029586 | 22535 | 1 | DF | CAPSULE | TID | ||||||
| 125816656 | 12581665 | 3 | SS | ESBRIET | PIRFENIDONE | 1 | Oral | 3029586 | 22535 | 3 | DF | CAPSULE | TID | ||||||
| 125816656 | 12581665 | 4 | SS | CELLCEPT | MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL HYDROCHLORIDE | 1 | Unknown | TAKE 2 TABLETS BY MOUTH 2 TIMES A DAY | 50722 | 500 | MG | TABLET | |||||||
| 125816656 | 12581665 | 5 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | 0 | 81 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 6 | C | FLOMAX | TAMSULOSIN HYDROCHLORIDE | 1 | Unknown | 0 | .4 | MG | CAPSULE | ||||||||
| 125816656 | 12581665 | 7 | C | LASIX | FUROSEMIDE | 1 | 0 | ||||||||||||
| 125816656 | 12581665 | 8 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 9 | C | NIACIN. | NIACIN | 1 | Unknown | 0 | 750 | MG | |||||||||
| 125816656 | 12581665 | 10 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Unknown | 0 | 325 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 11 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | Unknown | 0 | CAPSULE | ||||||||||
| 125816656 | 12581665 | 12 | C | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Unknown | 0 | 5 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 13 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 14 | C | CHONDROITIN | CHONDROITIN | 1 | Unknown | 0 | CAPSULE | ||||||||||
| 125816656 | 12581665 | 15 | C | IPRATROPIUM | IPRATROPIUM | 1 | Unknown | 0.5-2.5 MG/ML NEBULIZER | 0 | ||||||||||
| 125816656 | 12581665 | 16 | C | ALBUTEROL. | ALBUTEROL | 1 | Unknown | 0.5-2.5 MG/ML NEBULIZER | 0 | ||||||||||
| 125816656 | 12581665 | 17 | C | METOPROLOL SUCCINATE. | METOPROLOL SUCCINATE | 1 | Unknown | 0 | 50 | MG | |||||||||
| 125816656 | 12581665 | 18 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Oral | 0 | 20 | MG | CAPSULE | QD | |||||||
| 125816656 | 12581665 | 19 | C | PROCTOZONE-HC | HYDROCORTISONE | 1 | Unknown | 0 | 2.5 | PCT | |||||||||
| 125816656 | 12581665 | 20 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | 0 | 500 | MG | TABLET | ||||||||
| 125816656 | 12581665 | 21 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125816656 | 12581665 | 1 | Idiopathic pulmonary fibrosis |
| 125816656 | 12581665 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125816656 | 12581665 | OT |
| 125816656 | 12581665 | HO |
| 125816656 | 12581665 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125816656 | 12581665 | Arrhythmia | |
| 125816656 | 12581665 | Death | |
| 125816656 | 12581665 | Nausea | |
| 125816656 | 12581665 | Syncope |
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 |
|---|---|---|---|---|---|---|
| 125816656 | 12581665 | 1 | 201602 | 0 | ||
| 125816656 | 12581665 | 2 | 20160323 | 0 | ||
| 125816656 | 12581665 | 3 | 20160330 | 0 |