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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126556641 | 12655664 | 1 | I | 20151217 | 20151230 | 20160816 | 20160816 | PER | US-ROCHE-1687617 | ROCHE | 32.67 | YR | M | Y | 79.00000 | KG | 20160816 | OT | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126556641 | 12655664 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | Y | UNK | 103964 | 180 | UG | /wk | ||||||
| 126556641 | 12655664 | 2 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Oral | U | 21511 | 600 | MG | BID | |||||||
| 126556641 | 12655664 | 3 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Oral | U | 21511 | 200 | MG | BID | |||||||
| 126556641 | 12655664 | 4 | SS | SOVALDI | SOFOSBUVIR | 1 | Oral | U | 0 | 400 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126556641 | 12655664 | 1 | Hepatitis C |
| 126556641 | 12655664 | 2 | Hepatitis C |
| 126556641 | 12655664 | 4 | Hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126556641 | 12655664 | Anxiety | |
| 126556641 | 12655664 | Panic attack | |
| 126556641 | 12655664 | Paranoia | |
| 126556641 | 12655664 | Rash |
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 |
|---|---|---|---|---|---|---|
| 126556641 | 12655664 | 1 | 20151210 | 0 | ||
| 126556641 | 12655664 | 2 | 20151211 | 0 | ||
| 126556641 | 12655664 | 3 | 20151211 | 0 | ||
| 126556641 | 12655664 | 4 | 20151211 | 0 |