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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557611 | 12655761 | 1 | I | 20160217 | 20160816 | 20160816 | PER | US-ROCHE-1714286 | ROCHE | 0.00 | F | Y | 0.00000 | 20160816 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557611 | 12655761 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | UNKNOWN | 103964 | 180 | UG | SOLUTION FOR INJECTION | /wk | ||||||
| 126557611 | 12655761 | 2 | SS | SOVALDI | SOFOSBUVIR | 1 | Oral | U | 0 | 1 | DF | TABLET | QD | ||||||
| 126557611 | 12655761 | 3 | C | NAPROXEN SODIUM. | NAPROXEN SODIUM | 1 | 0 | ||||||||||||
| 126557611 | 12655761 | 4 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126557611 | 12655761 | 5 | C | RIBASPHERE RIBAPAK | RIBAVIRIN | 1 | Oral | 0 | 600 | MG | BID | ||||||||
| 126557611 | 12655761 | 6 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 | ||||||||||||
| 126557611 | 12655761 | 7 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | 0 | ||||||||||||
| 126557611 | 12655761 | 8 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126557611 | 12655761 | 9 | C | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126557611 | 12655761 | 1 | Hepatitis C |
| 126557611 | 12655761 | 2 | Hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126557611 | 12655761 | Dry skin | |
| 126557611 | 12655761 | Eating disorder | |
| 126557611 | 12655761 | Fatigue | |
| 126557611 | 12655761 | Headache | |
| 126557611 | 12655761 | Pruritus | |
| 126557611 | 12655761 | 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 |
|---|---|---|---|---|---|---|
| 126557611 | 12655761 | 1 | 20160204 | 0 | ||
| 126557611 | 12655761 | 2 | 20160204 | 0 | ||
| 126557611 | 12655761 | 5 | 20160204 | 0 |