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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127408001 | 12740800 | 1 | I | 20100727 | 20110607 | 20160914 | 20160914 | EXP | US-ROCHE-783389 | ROCHE | 68.57 | YR | F | Y | 87.70000 | KG | 20160914 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127408001 | 12740800 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | OVER 30-90 MIN ON DAYS 1 AND 15, LAST ADMINISTRATION DATE OF IND: 08/JUL/2010 | 125085 | 1824 | MG | SOLUTION FOR INFUSION | |||||||
| 127408001 | 12740800 | 2 | SS | TEMSIROLIMUS | TEMSIROLIMUS | 1 | Intravenous (not otherwise specified) | ON DAYS 1,8, 15, 22, LAST ADMINISTRATION DATE OF IND: 08 APRIL 2010 | 0 | 50 | MG | ||||||||
| 127408001 | 12740800 | 3 | C | ALLOPURINOL. | ALLOPURINOL | 1 | Unknown | 0 | |||||||||||
| 127408001 | 12740800 | 4 | C | K CITRATE | 2 | 0 | |||||||||||||
| 127408001 | 12740800 | 5 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127408001 | 12740800 | 1 | Carcinoid tumour |
| 127408001 | 12740800 | 2 | Carcinoid tumour |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127408001 | 12740800 | HO |
| 127408001 | 12740800 | DE |
| 127408001 | 12740800 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127408001 | 12740800 | Fatigue | |
| 127408001 | 12740800 | Large intestine perforation | |
| 127408001 | 12740800 | Rash maculo-papular |
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 |
|---|---|---|---|---|---|---|
| 127408001 | 12740800 | 1 | 20100401 | 0 |