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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126880732 | 12688073 | 2 | F | 20160615 | 20160915 | 20160826 | 20160921 | PER | US-009507513-1608USA007845 | MERCK | 72.26 | YR | M | Y | 0.00000 | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126880732 | 12688073 | 1 | PS | INTRON A | INTERFERON ALFA-2B | 1 | Subcutaneous | 1 ML (6M UNIUTS), TIW | M001832 | 103132 | 1 | ML | POWDER FOR INJECTION | TIW | |||||
| 126880732 | 12688073 | 2 | C | HYDROXYUREA. | HYDROXYUREA | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 3 | C | SENOKOT | SENNOSIDES | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 4 | C | LASIX | FUROSEMIDE | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 5 | C | SOTALOL. | SOTALOL | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 6 | C | FLOMAX | TAMSULOSIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 7 | C | METAMUCIL | PLANTAGO SEED | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 8 | C | ASPIRIN. | ASPIRIN | 1 | 0 | ||||||||||||
| 126880732 | 12688073 | 9 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126880732 | 12688073 | 1 | Malignant mast cell neoplasm |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126880732 | 12688073 | Balance disorder | |
| 126880732 | 12688073 | Decreased appetite | |
| 126880732 | 12688073 | Dysgeusia | |
| 126880732 | 12688073 | Fatigue | |
| 126880732 | 12688073 | Product use issue | |
| 126880732 | 12688073 | Skin ulcer | |
| 126880732 | 12688073 | Tinea pedis |
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 |
|---|---|---|---|---|---|---|
| 126880732 | 12688073 | 1 | 20160615 | 0 |