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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127413101 | 12741310 | 1 | I | 20110730 | 20160914 | 20160914 | EXP | US-ROCHE-795124 | ROCHE | 72.00 | YR | M | Y | 100.90000 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127413101 | 12741310 | 1 | PS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | 15MG/KG IV OVER 60 MINUTES ON DAY 1.?LAST DOSE PRIOR TO SERIOUS ADVERSE EVENT: 02/MAY/2011?COURSE:1 | U | 125085 | 1520 | MG | SOLUTION FOR INFUSION | ||||||
127413101 | 12741310 | 2 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 2 | U | 125085 | 1520 | MG | |||||||
127413101 | 12741310 | 3 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSR 3 | U | 125085 | 1540 | MG | |||||||
127413101 | 12741310 | 4 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 5 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 5 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 6 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 6 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 8 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 7 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 9 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 8 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 10 | U | 125085 | 1520 | MG | |||||||
127413101 | 12741310 | 9 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 11 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 10 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 12 | U | 125085 | 1560 | MG | |||||||
127413101 | 12741310 | 11 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 14 | U | 125085 | 1510 | MG | |||||||
127413101 | 12741310 | 12 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 15 | U | 125085 | 1470 | MG | |||||||
127413101 | 12741310 | 13 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 16 | U | 125085 | 1470 | MG | |||||||
127413101 | 12741310 | 14 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 17 | U | 125085 | 1470 | MG | |||||||
127413101 | 12741310 | 15 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 18 | U | 125085 | 1470 | MG | |||||||
127413101 | 12741310 | 16 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 19 | U | 125085 | 1470 | MG | |||||||
127413101 | 12741310 | 17 | SS | Bevacizumab | BEVACIZUMAB | 1 | Intravenous (not otherwise specified) | COURSE 20 | U | 125085 | 1440 | MG | |||||||
127413101 | 12741310 | 18 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | 25MG PO QD ON DAYS 1-14?LAST DOSE PRIOR TO SERIOUS ADVERSE EVENT: 10/MAY/2011?COURSE 1 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 19 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COUSE 2 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 20 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 3 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 21 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 5 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 22 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 6 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 23 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 8 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 24 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 9 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 25 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 10 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 26 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 11 | U | 0 | 350 | MG | |||||||
127413101 | 12741310 | 27 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 12 | U | 0 | 225 | MG | |||||||
127413101 | 12741310 | 28 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 14 | U | 0 | 165 | MG | |||||||
127413101 | 12741310 | 29 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 15 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 30 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 16 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 31 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 17 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 32 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 18 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 33 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 19 | U | 0 | 120 | MG | |||||||
127413101 | 12741310 | 34 | SS | LENALIDOMIDE | LENALIDOMIDE | 1 | Oral | COURSE 20 | U | 0 | 80 | MG | |||||||
127413101 | 12741310 | 35 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE1 | U | 0 | 162 | MG | |||||||
127413101 | 12741310 | 36 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 2 | U | 0 | 162 | MG | |||||||
127413101 | 12741310 | 37 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COUSE 3 | U | 0 | 163 | MG | |||||||
127413101 | 12741310 | 38 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 5 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 39 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 6 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 40 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 8 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 41 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 9 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 42 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 10 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 43 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 11 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 44 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 12 | U | 0 | 164 | MG | |||||||
127413101 | 12741310 | 45 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 14 | U | 0 | 158 | MG | |||||||
127413101 | 12741310 | 46 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 15 | U | 0 | |||||||||
127413101 | 12741310 | 47 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 16 | U | 0 | 155 | MG | |||||||
127413101 | 12741310 | 48 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 17 | U | 0 | 155 | MG | |||||||
127413101 | 12741310 | 49 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 18 | U | 0 | 155 | MG | |||||||
127413101 | 12741310 | 50 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COURSE 19 | U | 0 | 155 | MG | |||||||
127413101 | 12741310 | 51 | SS | DOCETAXEL. | DOCETAXEL | 1 | Intravenous (not otherwise specified) | COUSE 20 | U | 0 | 154 | MG | |||||||
127413101 | 12741310 | 52 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE:1 | U | 0 | 195 | MG | |||||||
127413101 | 12741310 | 53 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 2 | U | 0 | 200 | MG | |||||||
127413101 | 12741310 | 54 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 3 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 55 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 5 | U | 0 | 220 | MG | |||||||
127413101 | 12741310 | 56 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 6 | U | 0 | 220 | MG | |||||||
127413101 | 12741310 | 57 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 8 | U | 0 | 170 | MG | |||||||
127413101 | 12741310 | 58 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 9 | U | 0 | 205 | MG | |||||||
127413101 | 12741310 | 59 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 10 | U | 0 | 220 | MG | |||||||
127413101 | 12741310 | 60 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 11 | U | 0 | 200 | MG | |||||||
127413101 | 12741310 | 61 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 12 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 62 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 14 | U | 0 | 220 | MG | |||||||
127413101 | 12741310 | 63 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 15 | U | 0 | 200 | MG | |||||||
127413101 | 12741310 | 64 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 16 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 65 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 17 | U | 0 | 220 | MG | |||||||
127413101 | 12741310 | 66 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 18 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 67 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 19 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 68 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | COURSE 20 | U | 0 | 210 | MG | |||||||
127413101 | 12741310 | 69 | C | LOVENOX | ENOXAPARIN SODIUM | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127413101 | 12741310 | 1 | Prostate cancer |
127413101 | 12741310 | 18 | Prostate cancer |
127413101 | 12741310 | 35 | Prostate cancer |
127413101 | 12741310 | 52 | Prostate cancer |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127413101 | 12741310 | OT |
127413101 | 12741310 | LT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127413101 | 12741310 | Anaemia | |
127413101 | 12741310 | Hypophosphataemia | |
127413101 | 12741310 | Neutrophil count decreased | |
127413101 | 12741310 | Platelet count 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 |
---|---|---|---|---|---|---|
127413101 | 12741310 | 35 | 20100914 | 0 | ||
127413101 | 12741310 | 36 | 20101004 | 0 | ||
127413101 | 12741310 | 37 | 20101025 | 0 | ||
127413101 | 12741310 | 38 | 20101206 | 0 | ||
127413101 | 12741310 | 39 | 20101227 | 0 | ||
127413101 | 12741310 | 40 | 20110207 | 0 | ||
127413101 | 12741310 | 41 | 20110228 | 0 | ||
127413101 | 12741310 | 42 | 20110321 | 0 | ||
127413101 | 12741310 | 43 | 20110412 | 0 | ||
127413101 | 12741310 | 44 | 20110502 | 0 | ||
127413101 | 12741310 | 45 | 20110613 | 0 | ||
127413101 | 12741310 | 46 | 20110705 | 0 | ||
127413101 | 12741310 | 47 | 20110725 | 0 | ||
127413101 | 12741310 | 48 | 20110815 | 0 | ||
127413101 | 12741310 | 49 | 20110906 | 0 | ||
127413101 | 12741310 | 50 | 20110927 | 0 | ||
127413101 | 12741310 | 51 | 20111018 | 0 | ||
127413101 | 12741310 | 52 | 20100914 | 0 | ||
127413101 | 12741310 | 53 | 20101004 | 0 | ||
127413101 | 12741310 | 55 | 20101206 | 0 | ||
127413101 | 12741310 | 56 | 20101227 | 0 | ||
127413101 | 12741310 | 58 | 20110228 | 0 | ||
127413101 | 12741310 | 59 | 20110321 | 0 | ||
127413101 | 12741310 | 60 | 20110412 | 0 | ||
127413101 | 12741310 | 61 | 20110502 | 0 | ||
127413101 | 12741310 | 62 | 20110613 | 0 | ||
127413101 | 12741310 | 63 | 20110705 | 0 | ||
127413101 | 12741310 | 64 | 20110725 | 0 | ||
127413101 | 12741310 | 65 | 20110815 | 0 | ||
127413101 | 12741310 | 66 | 20110906 | 0 | ||
127413101 | 12741310 | 67 | 20110927 | 0 | ||
127413101 | 12741310 | 68 | 20111018 | 0 |