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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126580551 | 12658055 | 1 | I | 20160814 | 20160810 | 20160817 | 20160817 | EXP | US-ROCHE-1811807 | ROCHE | 63.16 | YR | F | Y | 0.00000 | 20160817 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126580551 | 12658055 | 1 | PS | TARCEVA | ERLOTINIB HYDROCHLORIDE | 1 | Oral | UNKNOWN | 53728 | 150 | MG | QD | |||||||
| 126580551 | 12658055 | 2 | SS | VALIUM | DIAZEPAM | 1 | Unknown | 13263 | |||||||||||
| 126580551 | 12658055 | 3 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 4 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 5 | C | OLANZAPINE. | OLANZAPINE | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 6 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 7 | C | FENTANYL. | FENTANYL | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 8 | C | DIAZEPAM. | DIAZEPAM | 1 | 0 | ||||||||||||
| 126580551 | 12658055 | 9 | C | MOTRIN | IBUPROFEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126580551 | 12658055 | 1 | Lung neoplasm malignant |
| 126580551 | 12658055 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126580551 | 12658055 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126580551 | 12658055 | Death | |
| 126580551 | 12658055 | Malaise |
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 |
|---|---|---|---|---|---|---|
| 126580551 | 12658055 | 1 | 20160524 | 0 |