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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127543051 | 12754305 | 1 | I | 20160104 | 20160915 | 20160916 | 20160916 | EXP | CN-ROCHE-1831135 | ROCHE | 71.74 | YR | M | Y | 62.50000 | KG | 20160916 | OT | CN | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127543051 | 12754305 | 1 | PS | MABTHERA | RITUXIMAB | 1 | Intravenous drip | U | SH0096 | 103705 | 500 | MG | SOLUTION FOR INFUSION | QD | |||||
| 127543051 | 12754305 | 2 | SS | EPIRUBICIN HYDROCHLORIDE. | EPIRUBICIN HYDROCHLORIDE | 1 | Intravenous drip | U | L83955 | 0 | 15 | MG | QD | ||||||
| 127543051 | 12754305 | 3 | SS | ETOPOSIDE. | ETOPOSIDE | 1 | Intravenous drip | U | WB1K1404004 | 0 | .5 | MG | QD | ||||||
| 127543051 | 12754305 | 4 | SS | VINCRISTINE SULPHATE | VINCRISTINE SULFATE | 1 | Intravenous drip | U | 567016 | 0 | .5 | MG | QD | ||||||
| 127543051 | 12754305 | 5 | C | SODIUM CHLORIDE. | SODIUM CHLORIDE | 1 | Intravenous drip | SOLVENT | 0 | 500 | ML | QD | |||||||
| 127543051 | 12754305 | 6 | C | SODIUM CHLORIDE. | SODIUM CHLORIDE | 1 | Intravenous drip | SOLVENT | 0 | 500 | ML | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127543051 | 12754305 | 1 | Lymphoma |
| 127543051 | 12754305 | 2 | Lymphoma |
| 127543051 | 12754305 | 3 | Lymphoma |
| 127543051 | 12754305 | 4 | Lymphoma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127543051 | 12754305 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127543051 | 12754305 | Bone marrow failure |
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 |
|---|---|---|---|---|---|---|
| 127543051 | 12754305 | 1 | 20151228 | 20151228 | 0 | |
| 127543051 | 12754305 | 2 | 20151229 | 20160101 | 0 | |
| 127543051 | 12754305 | 3 | 20151229 | 20160101 | 0 | |
| 127543051 | 12754305 | 4 | 20151229 | 20160101 | 0 | |
| 127543051 | 12754305 | 5 | 20151228 | 20151228 | 0 | |
| 127543051 | 12754305 | 6 | 20151229 | 20160101 | 0 |