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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126013751 | 12601375 | 1 | I | 20160724 | 0 | 20160727 | 20160727 | DIR | 80.00 | YR | M | N | 0.00000 | 20160726 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126013751 | 12601375 | 1 | PS | SPRYCEL | DASATINIB | 1 | Oral | D | D | 5H71797B | 20180731 | 0 | 140 | MG | QD | ||||
| 126013751 | 12601375 | 3 | C | LASIX | FUROSEMIDE | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 5 | C | FLOMAX | TAMSULOSIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 7 | C | PREVACID | LANSOPRAZOLE | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 9 | C | AMICAR | AMINOCAPROIC ACID | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 11 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 13 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 15 | C | COMPAZINE | PROCHLORPERAZINE MALEATE | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 17 | C | NYSTATIN. | NYSTATIN | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 19 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 126013751 | 12601375 | 21 | C | KCL | POTASSIUM CHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126013751 | 12601375 | 1 | Acute lymphocytic leukaemia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126013751 | 12601375 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126013751 | 12601375 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126013751 | 12601375 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126013751 | 12601375 | 1 | 20160517 | 20160724 | 0 |