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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557741 | 12655774 | 1 | I | 20160211 | 20160816 | 20160816 | PER | US-ROCHE-1710973 | ROCHE | 0.00 | M | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126557741 | 12655774 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | UNKNOWN | 103964 | 180 | UG | ||||||||
| 126557741 | 12655774 | 2 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 3 | C | ETODOLAC. | ETODOLAC | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 4 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 5 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 6 | C | LORATADINE. | LORATADINE | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 7 | C | DOCUSATE SODIUM. | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 8 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 9 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 10 | C | TRAMADOL. | TRAMADOL | 1 | 0 | ||||||||||||
| 126557741 | 12655774 | 11 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126557741 | 12655774 | 1 | Hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126557741 | 12655774 | Fatigue | |
| 126557741 | 12655774 | Influenza like illness | |
| 126557741 | 12655774 | Vision blurred |
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 |
|---|---|---|---|---|---|---|
| 126557741 | 12655774 | 1 | 20160121 | 0 |