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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127783342 | 12778334 | 2 | F | 20160914 | 20160926 | 20160928 | EXP | US-JNJFOC-20160915174 | JOHNSON AND JOHNSON | 0.00 | A | F | Y | 0.00000 | 20160928 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127783342 | 12778334 | 1 | PS | PEPCID | FAMOTIDINE | 1 | Unknown | D | N | 20325 | UNSPECIFIED | ||||||||
| 127783342 | 12778334 | 2 | SS | PEPCID | FAMOTIDINE | 1 | Unknown | D | N | 20325 | UNSPECIFIED | ||||||||
| 127783342 | 12778334 | 3 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | D | N | 999999 | UNSPECIFIED | ||||||||
| 127783342 | 12778334 | 4 | SS | KEYTRUDA | PEMBROLIZUMAB | 1 | Intravenous (not otherwise specified) | 100 MG/4 ML, EVERY 3 WEEKS | D | UNKNOWN | 0 | INJECTION | |||||||
| 127783342 | 12778334 | 5 | SS | ATIVAN | LORAZEPAM | 1 | Unknown | D | 0 | UNSPECIFIED | |||||||||
| 127783342 | 12778334 | 6 | SS | LORAZEPAM. | LORAZEPAM | 1 | Unknown | D | 0 | UNSPECIFIED | |||||||||
| 127783342 | 12778334 | 7 | SS | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Unknown | D | 0 | UNSPECIFIED | |||||||||
| 127783342 | 12778334 | 8 | SS | PROVENTIL | ALBUTEROL | 1 | Unknown | D | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127783342 | 12778334 | 2 | Product used for unknown indication |
| 127783342 | 12778334 | 3 | Product used for unknown indication |
| 127783342 | 12778334 | 4 | Product used for unknown indication |
| 127783342 | 12778334 | 5 | Product used for unknown indication |
| 127783342 | 12778334 | 6 | Product used for unknown indication |
| 127783342 | 12778334 | 7 | Product used for unknown indication |
| 127783342 | 12778334 | 8 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127783342 | 12778334 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127783342 | 12778334 | Death |
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 |
|---|---|---|---|---|---|---|
| 127783342 | 12778334 | 4 | 20160209 | 0 |