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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126282301 | 12628230 | 1 | I | 20151113 | 20160808 | 20160808 | EXP | CA-ROCHE-1661670 | ROCHE | 62.00 | YR | M | Y | 80.27000 | KG | 20160808 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126282301 | 12628230 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Intravenous (not otherwise specified) | U | 103964 | SOLUTION FOR INJECTION | |||||||||
| 126282301 | 12628230 | 2 | SS | SOVALDI | SOFOSBUVIR | 1 | Oral | U | 0 | 400 | MG | TABLET | |||||||
| 126282301 | 12628230 | 3 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Unknown | U | 21511 | ||||||||||
| 126282301 | 12628230 | 4 | C | CARVEDILOL. | CARVEDILOL | 1 | 0 | ||||||||||||
| 126282301 | 12628230 | 5 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126282301 | 12628230 | 1 | Chronic hepatitis C |
| 126282301 | 12628230 | 2 | Chronic hepatitis C |
| 126282301 | 12628230 | 3 | Chronic hepatitis C |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126282301 | 12628230 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126282301 | 12628230 | Drug ineffective | |
| 126282301 | 12628230 | Hepatitis C |
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 |
|---|---|---|---|---|---|---|
| 126282301 | 12628230 | 1 | 2014 | 2014 | 0 | |
| 126282301 | 12628230 | 2 | 20140527 | 2014 | 0 | |
| 126282301 | 12628230 | 3 | 2014 | 2014 | 0 |