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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127521191 | 12752119 | 1 | I | 20160201 | 0 | 20160915 | 20160915 | DIR | FDA-CTU | 58.42 | YR | M | N | 88.50000 | KG | 20160829 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127521191 | 12752119 | 1 | PS | CISPLATIN. | CISPLATIN | 1 | 0 | 85 | MG | ||||||||||
| 127521191 | 12752119 | 3 | C | AMOXICLAVULIN | 2 | 0 | |||||||||||||
| 127521191 | 12752119 | 5 | C | FLUCONAZOLE. | FLUCONAZOLE | 1 | 0 | ||||||||||||
| 127521191 | 12752119 | 7 | C | PIPTAZO | 2 | 0 | |||||||||||||
| 127521191 | 12752119 | 9 | C | PROCHLORPERZINE | 2 | 0 | |||||||||||||
| 127521191 | 12752119 | 11 | C | RANITIDINE. | RANITIDINE | 1 | 0 | ||||||||||||
| 127521191 | 12752119 | 13 | C | TAMIFLU | OSELTAMIVIR PHOSPHATE | 1 | 0 | ||||||||||||
| 127521191 | 12752119 | 15 | C | VANCOMYCIN | VANCOMYCIN | 1 | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127521191 | 12752119 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127521191 | 12752119 | Blood count abnormal | |
| 127521191 | 12752119 | Drug ineffective | |
| 127521191 | 12752119 | Influenza | |
| 127521191 | 12752119 | Pneumonia | |
| 127521191 | 12752119 | Pyrexia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127521191 | 12752119 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127521191 | 12752119 | 1 | 20160119 | 0 |