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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127041161 | 12704116 | 1 | I | 20160220 | 20160818 | 20160831 | 20160831 | EXP | FR-TEVA-687375ROM | TEVA | 59.20 | YR | M | Y | 72.00000 | KG | 20160831 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127041161 | 12704116 | 1 | PS | DOXORUBICINE TEVA 200 mg/100 ml | DOXORUBICIN | 1 | Intravenous drip | Y | 63097 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 127041161 | 12704116 | 2 | SS | ENDOXAN 1000 mg | CYCLOPHOSPHAMIDE | 1 | Intravenous drip | Y | 0 | 2350 | MG | SOLUTION FOR INJECTION | |||||||
| 127041161 | 12704116 | 3 | SS | BLEOMYCINE BELLON 15 mg | BLEOMYCIN SULFATE | 1 | Intravenous drip | Y | 0 | 10 | MG | POWDER FOR INJECTION | |||||||
| 127041161 | 12704116 | 4 | SS | UROMITEXAN | MESNA | 1 | Oral | Y | 0 | TABLET | |||||||||
| 127041161 | 12704116 | 5 | SS | POLARAMINE | DEXCHLORPHENIRAMINE MALEATE | 1 | Intravenous (not otherwise specified) | 10 MILLIGRAM DAILY; | Y | 0 | SOLUTION FOR INJECTION | ||||||||
| 127041161 | 12704116 | 6 | SS | POLARAMINE | DEXCHLORPHENIRAMINE MALEATE | 1 | Intravenous (not otherwise specified) | R-ACVBP PROTOCOL, 5 MG BY SLOW INTRAVENOUS INJECTION DAY 5 | Y | 0 | 5 | MG | SOLUTION FOR INJECTION | ||||||
| 127041161 | 12704116 | 7 | SS | METHYLPREDNISOLONE MYLAN | METHYLPREDNISOLONE | 1 | Intravenous drip | Y | 0 | 117.6 | MG | ||||||||
| 127041161 | 12704116 | 8 | SS | MABTHERA | RITUXIMAB | 1 | Intravenous drip | Y | 0 | 740 | MG | ||||||||
| 127041161 | 12704116 | 9 | SS | Paracetamol | ACETAMINOPHEN | 1 | Intravenous drip | Y | 0 | 500 | MG | ||||||||
| 127041161 | 12704116 | 10 | SS | METHOTREXATE BIODIM | METHOTREXATE | 1 | Y | 0 | 15 | MG | |||||||||
| 127041161 | 12704116 | 11 | SS | ONDANSETRON ACCORD 2 mg/ml | ONDANSETRON | 1 | Intravenous drip | Y | 0 | 16 | MG | SOLUTION FOR INJECTION | |||||||
| 127041161 | 12704116 | 12 | SS | ELDISINE | VINDESINE SULFATE | 1 | Intravenous drip | Y | 0 | 3.9 | MG | ||||||||
| 127041161 | 12704116 | 13 | SS | MESNA EG 100 mg/ml | MESNA | 1 | Intravenous drip | Y | 0 | 784 | MG | SOLUTION FOR INJECTION | |||||||
| 127041161 | 12704116 | 14 | SS | ZELITREX | VALACYCLOVIR HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 127041161 | 12704116 | 15 | SS | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | U | 0 | TABLET | ||||||||||
| 127041161 | 12704116 | 16 | SS | LEDERFOLINE | LEUCOVORIN CALCIUM | 1 | U | 0 | |||||||||||
| 127041161 | 12704116 | 17 | SS | ZYLORIC | ALLOPURINOL | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127041161 | 12704116 | 14 | Infection prophylaxis |
| 127041161 | 12704116 | 15 | Infection prophylaxis |
| 127041161 | 12704116 | 16 | Infection prophylaxis |
| 127041161 | 12704116 | 17 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127041161 | 12704116 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127041161 | 12704116 | Febrile neutropenia | |
| 127041161 | 12704116 | Stomatitis | |
| 127041161 | 12704116 | 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 |
|---|---|---|---|---|---|---|
| 127041161 | 12704116 | 1 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 2 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 3 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 4 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 5 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 6 | 20160216 | 20160216 | 0 | |
| 127041161 | 12704116 | 7 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 8 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 9 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 10 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 11 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 12 | 20160211 | 20160211 | 0 | |
| 127041161 | 12704116 | 13 | 20160211 | 20160211 | 0 |