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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126537672 | 12653767 | 2 | F | 20160412 | 20160816 | 20160816 | 20160817 | EXP | SE-ROCHE-1771634 | ROCHE | 68.00 | YR | Y | 0.00000 | 20160817 | MD | SE | SE |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126537672 | 12653767 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Unknown | DATE OF LAST DOSE PRIOR TO EVENT: 01/APR/2016 | 125085 | ||||||||||
126537672 | 12653767 | 2 | SS | PACLITAXEL. | PACLITAXEL | 1 | Unknown | DATE OF LAST DOSE PRIOR TO EVENT: 08/APR/2016 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126537672 | 12653767 | 1 | Breast cancer metastatic |
126537672 | 12653767 | 2 | Breast cancer metastatic |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126537672 | 12653767 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126537672 | 12653767 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |