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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095171 | 12609517 | 1 | I | 0 | 20160729 | 20160729 | DIR | 55.00 | YR | F | N | 0.00000 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095171 | 12609517 | 1 | PS | SPRYCEL | DASATINIB | 1 | Oral | N | D | 0 | 100 | MG | QD | ||||||
| 126095171 | 12609517 | 3 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | 0 | ||||||||||||
| 126095171 | 12609517 | 5 | C | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
| 126095171 | 12609517 | 7 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | 0 | ||||||||||||
| 126095171 | 12609517 | 9 | C | METOPROLOL. | METOPROLOL | 1 | 0 | ||||||||||||
| 126095171 | 12609517 | 11 | C | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | 0 | ||||||||||||
| 126095171 | 12609517 | 13 | C | ACYCLOVIR. | ACYCLOVIR | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126095171 | 12609517 | 1 | Acute lymphocytic leukaemia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126095171 | 12609517 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126095171 | 12609517 | Cardiac failure congestive | |
| 126095171 | 12609517 | Fatigue | |
| 126095171 | 12609517 | Fluid retention |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126095171 | 12609517 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126095171 | 12609517 | 1 | 20151112 | 20160718 | 0 |