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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126557791 | 12655779 | 1 | I | 20151030 | 20151130 | 20160816 | 20160816 | PER | US-ROCHE-1671250 | ROCHE | 35.41 | YR | M | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126557791 | 12655779 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | FOR 12 WEEKS | U | B2002B03,B2001B02 | 103964 | 180 | UG | /wk | |||||
126557791 | 12655779 | 2 | SS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | TILL APR/2016 | U | B2002B03,B2001B02 | 103964 | 180 | UG | /wk | |||||
126557791 | 12655779 | 3 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | Unknown | 0 | .5 | MG | TABLET | ||||||||
126557791 | 12655779 | 4 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 5 | MG | TABLET | ||||||||
126557791 | 12655779 | 5 | C | LORAZEPAM. | LORAZEPAM | 1 | Unknown | 0 | 1 | MG | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126557791 | 12655779 | 1 | Chronic hepatitis C |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126557791 | 12655779 | Anxiety | |
126557791 | 12655779 | Depression | |
126557791 | 12655779 | Fatigue |
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 |
---|---|---|---|---|---|---|
126557791 | 12655779 | 1 | 20151029 | 20160129 | 0 | |
126557791 | 12655779 | 2 | 20151030 | 0 |