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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126559731 | 12655973 | 1 | I | 20160512 | 20160816 | 20160816 | PER | US-ROCHE-1757308 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126559731 | 12655973 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Unknown | VIAL 180MCG ML, USE AS DIRECTED BY PHYSICIAN | 103964 | 180 | UG | ||||||||
| 126559731 | 12655973 | 2 | C | CARAFATE | SUCRALFATE | 1 | Unknown | 1GM/10ML | 0 | ||||||||||
| 126559731 | 12655973 | 3 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | Unknown | 0 | 5 | MG | TABLET | ||||||||
| 126559731 | 12655973 | 4 | C | XARELTO | RIVAROXABAN | 1 | Unknown | 0 | 15 | MG | TABLET | ||||||||
| 126559731 | 12655973 | 5 | C | ORPHENADRINE | ORPHENADRINE | 1 | Unknown | ER | 0 | 100 | MG | TABLET | |||||||
| 126559731 | 12655973 | 6 | C | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Unknown | 0 | 40 | MG | TABLET | ||||||||
| 126559731 | 12655973 | 7 | C | AFLURIA | INFLUENZA VIRUS VACCINE TRIVALENT TYPE A+B AFLURIA | 1 | Unknown | INJ PF 14-15 | 0 | ||||||||||
| 126559731 | 12655973 | 8 | C | LORAZEPAM. | LORAZEPAM | 1 | Unknown | 0 | .5 | MG | TABLET | ||||||||
| 126559731 | 12655973 | 9 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126559731 | 12655973 | 1 | Essential thrombocythaemia |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126559731 | 12655973 | Influenza like illness |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |