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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126710922 | 12671092 | 2 | F | 20160831 | 20160822 | 20160905 | EXP | CA-ROCHE-1817135 | ROCHE | 0.00 | F | Y | 0.00000 | 20160905 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126710922 | 12671092 | 1 | PS | CELLCEPT | MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL HYDROCHLORIDE | 1 | Unknown | 1000 MG/D | U | 50722 | |||||||||
| 126710922 | 12671092 | 2 | C | COVERSYL | PERINDOPRIL | 1 | 0 | ||||||||||||
| 126710922 | 12671092 | 3 | C | COUMADIN | WARFARIN SODIUM | 1 | 0 | ||||||||||||
| 126710922 | 12671092 | 4 | C | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126710922 | 12671092 | 1 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126710922 | 12671092 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126710922 | 12671092 | Amnesia | |
| 126710922 | 12671092 | Antiphospholipid syndrome | |
| 126710922 | 12671092 | Autoimmune hepatitis | |
| 126710922 | 12671092 | Cerebrovascular accident | |
| 126710922 | 12671092 | Diarrhoea | |
| 126710922 | 12671092 | Drug ineffective | |
| 126710922 | 12671092 | Hypertension | |
| 126710922 | 12671092 | Nephritis | |
| 126710922 | 12671092 | Obstructive airways disorder | |
| 126710922 | 12671092 | Osteoarthritis | |
| 126710922 | 12671092 | Systemic lupus erythematosus |
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 |
|---|---|---|---|---|---|---|
| 126710922 | 12671092 | 1 | 200711 | 0 |