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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126672881 | 12667288 | 1 | I | 20160810 | 0 | 20160818 | 20160818 | DIR | 6.03 | YR | M | N | 0.00000 | 20160812 | N | MD | COUNTRY NOT SPECIFIED |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126672881 | 12667288 | 1 | PS | MERCAPTOPURINE. | MERCAPTOPURINE | 1 | MERCAPTOPURINE - TOTAL DOSE ADMINISTERED 6552 MG - MERCAPTOPURINE HOLD DUE TO NEUTROPENIA STARTING ON 08/09/16 | D | D | 0 | |||||||||
| 126672881 | 12667288 | 2 | SS | METHOTREXATE. | METHOTREXATE | 1 | Oral | METHOTREXATE 221 MG TOTAL DOSE ADMINISTERED - PO METHOTREXATE ON HOLD DUE TO NEUTROPENIA STARTING ON 09AUG2016 | 0 | ||||||||||
| 126672881 | 12667288 | 3 | SS | PREDNISONE. | PREDNISONE | 1 | PREDNISONE - TOTAL DOSE ADMINISTERED 450 MG | 0 | |||||||||||
| 126672881 | 12667288 | 4 | SS | VINCRISTINE SULFATE. | VINCRISTINE SULFATE | 1 | VINCRISTINE SULFATE - TOTAL DOSE ADMINISTERED - 3.3 MG | 0 | 3.3 | MG |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126672881 | 12667288 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126672881 | 12667288 | Abdominal pain | |
| 126672881 | 12667288 | Gastric ulcer | |
| 126672881 | 12667288 | Neutropenia | |
| 126672881 | 12667288 | Pyrexia | |
| 126672881 | 12667288 | Streptococcus test positive |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126672881 | 12667288 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126672881 | 12667288 | 1 | 20160809 | 0 | ||
| 126672881 | 12667288 | 2 | 20160808 | 0 | ||
| 126672881 | 12667288 | 3 | 20160717 | 0 | ||
| 126672881 | 12667288 | 4 | 20160713 | 0 |