Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331041 | 4050869 | F | 1 | 4331041-0 | 20030901 | 20040316 | 20040331 | EXP | US-JNJFOC-20031202022 | CENTOCOR, INC. | 33 | YR | F | N | 185 | LBS | 20040330 | MD | 20030901 |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331041 | 1004758730 | PS | REMICADE | 1 | RECEIVED APPROXIMATELY 5 DOSES SINCE 2001 | U | U | ||||
| 4331041 | 1004768230 | SS | OXYCONTIN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4331041 | 1004758730 | CROHN'S DISEASE |
| 4331041 | 1004768230 | DRUG USE FOR UNKNOWN INDICATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4331041 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4331041 | COMPLETED SUICIDE |
| 4331041 | CROHN'S DISEASE |
| 4331041 | DISEASE RECURRENCE |
| 4331041 | DRUG ABUSER |
| 4331041 | OVERDOSE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4331041 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4331041 | 1004758730 | 20010101 |