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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126596361 | 12659636 | 1 | I | 20160805 | 20160817 | 20160817 | PER | US-009507513-1608USA004951 | MERCK | 53.00 | YR | F | Y | 0.00000 | 20160817 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126596361 | 12659636 | 1 | PS | INTRON A | INTERFERON ALFA-2B | 1 | Subcutaneous | 18MIU ON MONDAYS, WEDNESAYS AND FRIDAYS | 103132 | 18 | DF | POWDER FOR INJECTION | |||||||
126596361 | 12659636 | 2 | C | IBUPROFEN (+) ACETAMINOPHEN | 2 | Oral | 18 UNK, UNK | 0 | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126596361 | 12659636 | 1 | Malignant melanoma |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126596361 | 12659636 | Depression |
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 |
---|---|---|---|---|---|---|
126596361 | 12659636 | 1 | 201508 | 0 |