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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126243162 | 12624316 | 2 | F | 20160718 | 20160820 | 20160805 | 20160830 | EXP | JP-AMGEN-JPNSP2016101278 | AMGEN | 68.00 | YR | E | F | Y | 53.00000 | KG | 20160830 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126243162 | 12624316 | 1 | PS | G-LASTA | PEGFILGRASTIM | 1 | Subcutaneous | 3.6 MG, UNK | U | 125031 | 3.6 | MG | SOLUTION FOR INJECTION | ||||||
| 126243162 | 12624316 | 2 | SS | G-LASTA | PEGFILGRASTIM | 1 | Subcutaneous | UNK | U | 125031 | SOLUTION FOR INJECTION | ||||||||
| 126243162 | 12624316 | 3 | SS | TAXOTERE | DOCETAXEL | 1 | Intravenous drip | UNK | 0 | INJECTION | |||||||||
| 126243162 | 12624316 | 4 | SS | CYCLOPHOSPHAMIDE HYDRATE | CYCLOPHOSPHAMIDE | 1 | Intravenous drip | UNK | 0 | INJECTION | |||||||||
| 126243162 | 12624316 | 5 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous drip | UNK, UNK | 0 | INJECTION | |||||||||
| 126243162 | 12624316 | 6 | SS | HERCEPTIN | TRASTUZUMAB | 1 | Intravenous drip | 315 MG, UNK | 0 | 315 | MG | INJECTION | |||||||
| 126243162 | 12624316 | 7 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous drip | UNK | 0 | INJECTION | |||||||||
| 126243162 | 12624316 | 8 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous drip | 110 MG, UNK | 0 | 110 | MG | INJECTION | |||||||
| 126243162 | 12624316 | 9 | SS | ENDOXAN | CYCLOPHOSPHAMIDE | 1 | Intravenous drip | UNK | 0 | INJECTION | |||||||||
| 126243162 | 12624316 | 10 | SS | ENDOXAN | CYCLOPHOSPHAMIDE | 1 | Intravenous drip | 890 MG, UNK | 0 | 890 | MG | INJECTION | |||||||
| 126243162 | 12624316 | 11 | C | SEROTONE | AZASETRON HYDROCHLORIDE | 1 | Oral | 10 MG, UNK | 0 | 10 | MG | TABLET | |||||||
| 126243162 | 12624316 | 12 | C | RESTAMIN | DIPHENHYDRAMINE | 1 | Oral | 50 MG, UNK | 0 | 50 | MG | TABLET | |||||||
| 126243162 | 12624316 | 13 | C | DECADRON | DEXAMETHASONE | 1 | Intravenous (not otherwise specified) | 6.6 MG, UNK | 0 | 6.6 | MG | ||||||||
| 126243162 | 12624316 | 14 | C | DECADRON | DEXAMETHASONE | 1 | Oral | 4 MG, 3 TIMES IN TOTAL | 0 | 4 | MG | ||||||||
| 126243162 | 12624316 | 15 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 150 MG, 14 TIMES IN TOTAL | 0 | 150 | MG | TABLET | |||||||
| 126243162 | 12624316 | 16 | C | NAUZELIN | DOMPERIDONE | 1 | Oral | 10 MG, 14 TIMES IN TOTAL | 0 | 10 | MG | TABLET | |||||||
| 126243162 | 12624316 | 17 | C | SELBEX | TEPRENONE | 1 | Oral | 50 MG, 14 TIMES IN TOTAL | 0 | 50 | MG | CAPSULE | |||||||
| 126243162 | 12624316 | 18 | C | ROCALTROL | CALCITRIOL | 1 | Oral | 0.25 MG, UNK | 0 | .25 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126243162 | 12624316 | 1 | Colony stimulating factor prophylaxis |
| 126243162 | 12624316 | 3 | Breast cancer |
| 126243162 | 12624316 | 4 | Breast cancer |
| 126243162 | 12624316 | 5 | Breast cancer |
| 126243162 | 12624316 | 7 | Breast cancer |
| 126243162 | 12624316 | 9 | Breast cancer |
| 126243162 | 12624316 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126243162 | 12624316 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126243162 | 12624316 | Interstitial lung disease | |
| 126243162 | 12624316 | Pyrexia |
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 |
|---|---|---|---|---|---|---|
| 126243162 | 12624316 | 2 | 20160713 | 0 | ||
| 126243162 | 12624316 | 6 | 20160712 | 0 | ||
| 126243162 | 12624316 | 8 | 20160712 | 0 | ||
| 126243162 | 12624316 | 10 | 20160712 | 0 | ||
| 126243162 | 12624316 | 11 | 20160712 | 0 | ||
| 126243162 | 12624316 | 12 | 20160712 | 0 | ||
| 126243162 | 12624316 | 13 | 20160712 | 0 | ||
| 126243162 | 12624316 | 14 | 20160713 | 20160715 | 0 | |
| 126243162 | 12624316 | 15 | 20160712 | 20160728 | 0 | |
| 126243162 | 12624316 | 16 | 20160712 | 20160728 | 0 | |
| 126243162 | 12624316 | 17 | 20160712 | 20160728 | 0 | |
| 126243162 | 12624316 | 18 | 20160712 | 0 |