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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127338411 | 12733841 | 1 | I | 20141216 | 20160823 | 20160912 | 20160912 | EXP | US-ROCHE-1827840 | ROCHE | 19.00 | YR | M | Y | 61.40000 | KG | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127338411 | 12733841 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | LAST DOSE PRIOR TO HYPOPHOSPHATEMIA: 16/APR/2013 (COURSE 1) | 125085 | 1840 | MG | SOLUTION FOR INFUSION | |||||||
| 127338411 | 12733841 | 2 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | LAST DOSE PRIOR TO DIARRHEA: 05/AUG/2013 (COURSE 3) | 125085 | 2441 | MG | SOLUTION FOR INFUSION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127338411 | 12733841 | 1 | Medulloblastoma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127338411 | 12733841 | DE |
| 127338411 | 12733841 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127338411 | 12733841 | Death | |
| 127338411 | 12733841 | Diarrhoea | |
| 127338411 | 12733841 | Hypophosphataemia |
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 |
|---|---|---|---|---|---|---|
| 127338411 | 12733841 | 1 | 20130416 | 0 | ||
| 127338411 | 12733841 | 2 | 20130805 | 20140131 | 0 |