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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126559671 | 12655967 | 1 | I | 20150909 | 20160816 | 20160816 | PER | US-ROCHE-1632379 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126559671 | 12655967 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Subcutaneous | 180 MCG 0.5 ML PRE FILLED SYRINGE KIT | U | B2006B04 | 103964 | 180 | UG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | /wk | ||||
| 126559671 | 12655967 | 2 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Oral | U | 21511 | 200 | MG | TABLET | |||||||
| 126559671 | 12655967 | 3 | C | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 250/50 | 0 | ||||||||||
| 126559671 | 12655967 | 4 | C | Amitriptyline | AMITRIPTYLINE | 1 | Unknown | 0 | 50 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 5 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 6 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Unknown | 0 | .5 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 7 | C | DOXYCYCLINE. | DOXYCYCLINE | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 8 | C | DULOXETINE. | DULOXETINE | 1 | Unknown | 0 | 60 | MG | CAPSULE | ||||||||
| 126559671 | 12655967 | 9 | C | FAMOTIDINE. | FAMOTIDINE | 1 | 0 | ||||||||||||
| 126559671 | 12655967 | 10 | C | LEVOFLOXACIN. | LEVOFLOXACIN | 1 | Unknown | 0 | 500 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 11 | C | LYRICA | PREGABALIN | 1 | Unknown | 0 | 200 | MG | CAPSULE | ||||||||
| 126559671 | 12655967 | 12 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | Unknown | 0 | 15 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 13 | C | OXYCODONE HYDROCHLORIDE. | OXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126559671 | 12655967 | 14 | C | PANTOPRAZOL | PANTOPRAZOLE SODIUM | 1 | Unknown | 0 | 40 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 15 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 16 | C | PROMETHAZINE SUPPOSITORY | 2 | Unknown | 0 | 12.5 | MG | ||||||||||
| 126559671 | 12655967 | 17 | C | QUETIAPINE. | QUETIAPINE | 1 | Unknown | 0 | 200 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 18 | C | SMZ-TMP | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | 400-80 MG TAB | 0 | TABLET | |||||||||
| 126559671 | 12655967 | 19 | C | TOPIRAMATE. | TOPIRAMATE | 1 | Unknown | 0 | 50 | MG | TABLET | ||||||||
| 126559671 | 12655967 | 20 | C | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126559671 | 12655967 | 1 | Chronic hepatitis C |
| 126559671 | 12655967 | 2 | Chronic hepatitis C |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126559671 | 12655967 | Anxiety | |
| 126559671 | 12655967 | Asthenia | |
| 126559671 | 12655967 | Depression | |
| 126559671 | 12655967 | Fatigue | |
| 126559671 | 12655967 | Insomnia | |
| 126559671 | 12655967 | Memory impairment | |
| 126559671 | 12655967 | Nausea | |
| 126559671 | 12655967 | Pain |
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 |
|---|---|---|---|---|---|---|
| 126559671 | 12655967 | 1 | 20150813 | 0 |