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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126276232 | 12627623 | 2 | F | 20160804 | 20160805 | 20160812 | EXP | JP-BAUSCH-BL-2016-018557 | BAUSCH AND LOMB | 77.00 | YR | M | Y | 0.00000 | 20160812 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126276232 | 12627623 | 1 | PS | VISUDYNE | VERTEPORFIN | 1 | Intravenous (not otherwise specified) | 21119 | 6 | MG/M**2 | INJECTION | ||||||||
| 126276232 | 12627623 | 2 | SS | VISUDYNE | VERTEPORFIN | 1 | 21119 | ||||||||||||
| 126276232 | 12627623 | 3 | SS | LUCENTIS | RANIBIZUMAB | 1 | Other | N | 0 | .05 | ML | INJECTION | |||||||
| 126276232 | 12627623 | 4 | SS | LUCENTIS | RANIBIZUMAB | 1 | N | 0 | |||||||||||
| 126276232 | 12627623 | 5 | C | EYLEA | AFLIBERCEPT | 1 | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126276232 | 12627623 | 1 | Polypoidal choroidal vasculopathy |
| 126276232 | 12627623 | 2 | Age-related macular degeneration |
| 126276232 | 12627623 | 3 | Polypoidal choroidal vasculopathy |
| 126276232 | 12627623 | 4 | Age-related macular degeneration |
| 126276232 | 12627623 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126276232 | 12627623 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126276232 | 12627623 | Polypoidal choroidal vasculopathy | |
| 126276232 | 12627623 | Visual acuity reduced |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |