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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 128006421 | 12800642 | 1 | I | 20160824 | 20160907 | 20160930 | 20160930 | PER | US-009507513-1609USA004154 | MERCK | 48.24 | YR | M | Y | 0.00000 | 20160930 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 128006421 | 12800642 | 1 | PS | INTRON A | INTERFERON ALFA-2B | 1 | Subcutaneous | STRENGHT: 25 MU; DOSE: 20 MU MONDAY TO FRIDAY EACH WEEK | L041049 | 103132 | POWDER FOR INJECTION | ||||||||
| 128006421 | 12800642 | 2 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | 0 | ||||||||||||
| 128006421 | 12800642 | 3 | C | DEXAMETHASONE. | DEXAMETHASONE | 1 | 0 | TABLET | |||||||||||
| 128006421 | 12800642 | 4 | C | LORAZEPAM. | LORAZEPAM | 1 | 0 | ||||||||||||
| 128006421 | 12800642 | 5 | C | METHOCARBAMOL. | METHOCARBAMOL | 1 | 0 | ||||||||||||
| 128006421 | 12800642 | 6 | C | MORPHINE SULFATE. | MORPHINE SULFATE | 1 | 0 | CAPSULE | |||||||||||
| 128006421 | 12800642 | 7 | C | NICOTINE. | NICOTINE | 1 | Transdermal | 0 | |||||||||||
| 128006421 | 12800642 | 8 | C | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 128006421 | 12800642 | 9 | C | CHOLECALCIFEROL | CHOLECALCIFEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 128006421 | 12800642 | 1 | Malignant melanoma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 128006421 | 12800642 | Depression | |
| 128006421 | 12800642 | Fatigue | |
| 128006421 | 12800642 | Headache | |
| 128006421 | 12800642 | Nausea |
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 |
|---|---|---|---|---|---|---|
| 128006421 | 12800642 | 1 | 20160303 | 20160824 | 0 |