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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126391562 | 12639156 | 2 | F | 20160709 | 20160913 | 20160810 | 20160914 | EXP | ES-ROCHE-1808906 | ROCHE | 61.68 | YR | M | Y | 0.00000 | 20160914 | MD | ES | ES |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126391562 | 12639156 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Unknown | DATE OF LAST DOSE PRIOR TO SAE: 08/JUL/2016 | 125085 | 385 | MG | SOLUTION FOR INFUSION | |||||||
126391562 | 12639156 | 2 | SS | 5-FU | FLUOROURACIL | 1 | Intravenous (not otherwise specified) | DATE OF LAST DOSE PRIOR TO SAE: 08/JUL/2016?CYCLE 1 | 0 | INFUSION | |||||||||
126391562 | 12639156 | 3 | SS | 5-FU | FLUOROURACIL | 1 | Intravenous bolus | DATE OF LAST DOSE PRIOR TO SAE: 08/JUL/2016?CYCLE 1 | 0 | 766.8 | MG | INFUSION | |||||||
126391562 | 12639156 | 4 | SS | OXALIPLATIN. | OXALIPLATIN | 1 | Unknown | DAET OF LAST DOSE PRIOR TO SAE: 08/JUL/2016 | 0 | 162.95 | MG | ||||||||
126391562 | 12639156 | 5 | SS | LEUCOVORIN. | LEUCOVORIN | 1 | Unknown | DATE OF LAST DOSE PRIOR TO SAE: 08/JUL/2016?CYCLE 1 | 0 | 766.8 | MG | ||||||||
126391562 | 12639156 | 6 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Oral | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126391562 | 12639156 | 1 | Colon cancer |
126391562 | 12639156 | 2 | Colon cancer |
126391562 | 12639156 | 4 | Colon cancer |
126391562 | 12639156 | 5 | Colon cancer |
126391562 | 12639156 | 6 | Dyslipidaemia |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126391562 | 12639156 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126391562 | 12639156 | Pyrexia | |
126391562 | 12639156 | Vomiting |
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 |
---|---|---|---|---|---|---|
126391562 | 12639156 | 1 | 20160708 | 0 | ||
126391562 | 12639156 | 2 | 20160708 | 0 | ||
126391562 | 12639156 | 3 | 20160708 | 0 | ||
126391562 | 12639156 | 4 | 20160708 | 0 | ||
126391562 | 12639156 | 5 | 20160708 | 0 |