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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126731671 | 12673167 | 1 | I | 201606 | 20160808 | 20160822 | 20160822 | EXP | NL-TOLMAR, INC.-2016NL007916 | TOLMAR | 0.00 | M | Y | 0.00000 | 20160822 | CN | NL | NL |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126731671 | 12673167 | 1 | PS | ELIGARD | LEUPROLIDE ACETATE | 1 | Subcutaneous | 45 MG, 1X6 MONTHS | U | 21731 | 45 | MG | INJECTION | ||||||
126731671 | 12673167 | 2 | SS | ZOLADEX | GOSERELIN ACETATE | 1 | Unknown | 10.8 MG, FOR 12 WEEKS | U | U | 0 | 10.8 | MG |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126731671 | 12673167 | 1 | Prostate cancer |
126731671 | 12673167 | 2 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126731671 | 12673167 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126731671 | 12673167 | Drug prescribing error | |
126731671 | 12673167 | Gait disturbance | |
126731671 | 12673167 | Loose tooth | |
126731671 | 12673167 | Metastasis | |
126731671 | 12673167 | Neuralgia | |
126731671 | 12673167 | Night blindness | |
126731671 | 12673167 | Ocular hyperaemia | |
126731671 | 12673167 | Paraesthesia | |
126731671 | 12673167 | Tooth loss |
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 |
---|---|---|---|---|---|---|
126731671 | 12673167 | 1 | 20160610 | 0 | ||
126731671 | 12673167 | 2 | 20160523 | 0 |