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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127274781 | 12727478 | 1 | I | 2016 | 20160830 | 20160909 | 20160909 | PER | US-009507513-1609USA000371 | MERCK | 0.00 | F | Y | 0.00000 | 20160909 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127274781 | 12727478 | 1 | PS | INTRON A | INTERFERON ALFA-2B | 1 | Subcutaneous | 1.57 MILLION IU, TIW | 103132 | 1.57 | MIU | SOLUTION FOR INJECTION | TIW | ||||||
127274781 | 12727478 | 2 | C | AMLODIPINE BESYLATE. | AMLODIPINE BESYLATE | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 3 | C | DEMEROL | MEPERIDINE HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 4 | C | ESCITALOPRAM OXALATE. | ESCITALOPRAM OXALATE | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 5 | C | GABAPENTIN. | GABAPENTIN | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 6 | C | FERROUS GLUCONATE | FERROUS GLUCONATE | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 7 | C | LORAZEPAM. | LORAZEPAM | 1 | UNK | 0 | |||||||||||
127274781 | 12727478 | 8 | C | ONDANSETRON HYDROCHLORIDE. | ONDANSETRON HYDROCHLORIDE | 1 | UNK | 0 | INJECTION | ||||||||||
127274781 | 12727478 | 9 | C | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | UNK | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127274781 | 12727478 | 1 | Malignant melanoma |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127274781 | 12727478 | Alopecia | |
127274781 | 12727478 | Nausea |
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 |
---|---|---|---|---|---|---|
127274781 | 12727478 | 1 | 20160722 | 0 |