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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557051 | 12655705 | 1 | I | 20151208 | 20160816 | 20160816 | PER | US-ROCHE-1674906 | ROCHE | 0.00 | M | Y | 0.00000 | 20160816 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557051 | 12655705 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | U | 103964 | 180 | UG | ||||||||
| 126557051 | 12655705 | 2 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Unknown | 2 IN AM AND 3 IN PM | U | 21511 | |||||||||
| 126557051 | 12655705 | 3 | C | UNSPECIFIED MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126557051 | 12655705 | 1 | Hepatitis C |
| 126557051 | 12655705 | 2 | Hepatitis C |
| 126557051 | 12655705 | 3 | Oral herpes |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126557051 | 12655705 | Alopecia | |
| 126557051 | 12655705 | Cough | |
| 126557051 | 12655705 | Decreased appetite | |
| 126557051 | 12655705 | Depression | |
| 126557051 | 12655705 | Gastric disorder | |
| 126557051 | 12655705 | Immunodeficiency | |
| 126557051 | 12655705 | Influenza like illness | |
| 126557051 | 12655705 | Insomnia | |
| 126557051 | 12655705 | Malaise | |
| 126557051 | 12655705 | Oral herpes | |
| 126557051 | 12655705 | Upper respiratory tract infection |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |