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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127013351 | 12701335 | 1 | I | 2016 | 20160802 | 20160831 | 20160831 | PER | US-009507513-1608USA001900 | MERCK | 0.00 | F | Y | 0.00000 | 20160831 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127013351 | 12701335 | 1 | PS | INTRON A | INTERFERON ALFA-2B | 1 | Subcutaneous | 17 MIU, 3 TIMES A WEEK (TIW) | U | M002230 | 103132 | POWDER FOR INJECTION | TIW | ||||||
| 127013351 | 12701335 | 2 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 127013351 | 12701335 | 3 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127013351 | 12701335 | 4 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127013351 | 12701335 | 5 | C | ESTRADIOL. | ESTRADIOL | 1 | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127013351 | 12701335 | 1 | Skin cancer |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127013351 | 12701335 | Decreased appetite | |
| 127013351 | 12701335 | Diarrhoea | |
| 127013351 | 12701335 | Dysgeusia | |
| 127013351 | 12701335 | Dyspnoea | |
| 127013351 | 12701335 | Fatigue | |
| 127013351 | 12701335 | Headache | |
| 127013351 | 12701335 | Influenza like illness | |
| 127013351 | 12701335 | Nausea | |
| 127013351 | 12701335 | Palpitations | |
| 127013351 | 12701335 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 127013351 | 12701335 | 1 | 201605 | 0 |