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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127360611 | 12736061 | 1 | I | 20160912 | 20160913 | 20160913 | EXP | CA-ROCHE-1829241 | ROCHE | 48.00 | YR | F | Y | 105.00000 | KG | 20160913 | OT | CA | CA |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127360611 | 12736061 | 1 | PS | PEGASYS | PEGINTERFERON ALFA-2A | 1 | Oral | U | 103964 | SOLUTION FOR INJECTION | QD | ||||||||
127360611 | 12736061 | 2 | SS | RIBAVIRIN. | RIBAVIRIN | 1 | Oral | U | 21511 | 600 | MG | QD | |||||||
127360611 | 12736061 | 3 | SS | SOVALDI | SOFOSBUVIR | 1 | Oral | U | 0 | 400 | MG | TABLET | QD | ||||||
127360611 | 12736061 | 4 | C | ATROVENT | IPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
127360611 | 12736061 | 5 | C | CLOZAPINE. | CLOZAPINE | 1 | Unknown | 0 | TABLET | ||||||||||
127360611 | 12736061 | 6 | C | DOCUSATE CALCIUM. | DOCUSATE CALCIUM | 1 | Unknown | 0 | CAPSULE | ||||||||||
127360611 | 12736061 | 7 | C | QUETIAPINE. | QUETIAPINE | 1 | Unknown | 0 | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127360611 | 12736061 | 1 | Hepatitis C virus test positive |
127360611 | 12736061 | 2 | Hepatitis C virus test positive |
127360611 | 12736061 | 3 | Hepatitis C virus test positive |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127360611 | 12736061 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127360611 | 12736061 | Cognitive disorder | |
127360611 | 12736061 | Confusional state | |
127360611 | 12736061 | Mental impairment | |
127360611 | 12736061 | Neutropenia | |
127360611 | 12736061 | Psychotic disorder | |
127360611 | 12736061 | White blood cell count decreased |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |