The Safety Rates Drug Report

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Drug     Injury     Quarter    

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
126104721 12610472 1 I 20150128 0 20160729 20160729 DIR 98.00 YR M N 62.30000 KG 20160728 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
126104721 12610472 1 PS FLUOROURACIL. FLUOROURACIL 1 Topical BID TOP Y D 0 BID

Indications of drugs used

Event ID CASEID INDI DRUG SEQ INDI PT
126104721 12610472 1 Actinic keratosis

Outcome of event

Event ID CASEID OUTC COD
126104721 12610472 RI

Reactions reported

Event ID CASEID DRUG REC ACT PT
126104721 12610472 Neuropathy peripheral

Reporting Sources (this data is often not reported and may therefore be missing here)

Event ID CASEID RPSR COD
126104721 12610472 HP

Therapies reported

Event ID CASEID DSG DRUG SEQ START DT END DT DUR DUR COD
126104721 12610472 1 20140618 20150128 0