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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95185649 | 9518564 | 9 | F | 20111228 | 20160704 | 20130912 | 20160711 | EXP | PHHY2011CA114593 | NOVARTIS | 48.91 | YR | F | Y | 0.00000 | 20160711 | CN | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95185649 | 9518564 | 1 | PS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | 20 MG, QMO (EVERY 4 WEEKS) | U | 21008 | 20 | MG | /month | ||||||
| 95185649 | 9518564 | 2 | SS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | 30 MG, QMO | U | 21008 | 30 | MG | /month | ||||||
| 95185649 | 9518564 | 3 | SS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | UNK | U | 21008 | |||||||||
| 95185649 | 9518564 | 4 | SS | SANDOSTATIN LAR DEPOT | OCTREOTIDE ACETATE | 1 | Intramuscular | 30 MG, ONCE A MONTH | U | 21008 | 30 | MG | /month | ||||||
| 95185649 | 9518564 | 5 | C | COUMADIN | WARFARIN SODIUM | 1 | Unknown | UNK | Y | 0 | |||||||||
| 95185649 | 9518564 | 6 | C | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Unknown | UNK | U | 0 | |||||||||
| 95185649 | 9518564 | 7 | C | REOMEN | 2 | Unknown | UNK | U | 0 | ||||||||||
| 95185649 | 9518564 | 8 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | UNK | U | 0 | |||||||||
| 95185649 | 9518564 | 9 | C | CALCIUM | CALCIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 95185649 | 9518564 | 10 | C | VITAMIN K NOS | 2 | Unknown | UNK | U | 0 | ||||||||||
| 95185649 | 9518564 | 11 | C | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
| 95185649 | 9518564 | 12 | C | PANTOLOC CONTROL | 2 | Unknown | UNK | U | 0 | ||||||||||
| 95185649 | 9518564 | 13 | C | CORTEF | HYDROCORTISONE | 1 | Unknown | UNK | U | 0 | |||||||||
| 95185649 | 9518564 | 14 | C | CODEINE | CODEINE | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 95185649 | 9518564 | 1 | Crohn's disease |
| 95185649 | 9518564 | 5 | Product used for unknown indication |
| 95185649 | 9518564 | 6 | Product used for unknown indication |
| 95185649 | 9518564 | 7 | Product used for unknown indication |
| 95185649 | 9518564 | 8 | Product used for unknown indication |
| 95185649 | 9518564 | 9 | Product used for unknown indication |
| 95185649 | 9518564 | 10 | Product used for unknown indication |
| 95185649 | 9518564 | 11 | Product used for unknown indication |
| 95185649 | 9518564 | 12 | Product used for unknown indication |
| 95185649 | 9518564 | 13 | Product used for unknown indication |
| 95185649 | 9518564 | 14 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 95185649 | 9518564 | OT |
| 95185649 | 9518564 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 95185649 | 9518564 | Abdominal pain upper | |
| 95185649 | 9518564 | Body temperature decreased | |
| 95185649 | 9518564 | Endometrial cancer stage IV | |
| 95185649 | 9518564 | Epistaxis | |
| 95185649 | 9518564 | Heart rate decreased | |
| 95185649 | 9518564 | Injection site induration | |
| 95185649 | 9518564 | Injection site pain | |
| 95185649 | 9518564 | Pain | |
| 95185649 | 9518564 | Product use issue | |
| 95185649 | 9518564 | Renal cell carcinoma | |
| 95185649 | 9518564 | Renal neoplasm |
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 |
|---|---|---|---|---|---|---|
| 95185649 | 9518564 | 1 | 20111228 | 0 | ||
| 95185649 | 9518564 | 3 | 20131202 | 0 |