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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4411056 | 4198149 | I | 4411056-4 | 20040504 | 20040630 | PER | 04P-163-0260399-00 | PPD PHARMACOVIGILANCE | 45 | YR | M | N | 20040504 |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4411056 | 1005060481 | PS | HUMIRA | 1 | SUBCUTANEOUS | 40 MG, SUBCUTANEOUS | D | D |
Indications of drugs used
no results found |
Outcome of event
no results found |
Reactions reported
Event ID | PT |
---|---|
4411056 | HERPES SIMPLEX |
4411056 | HERPES ZOSTER |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4411056 | CSM |
Therapies reported
no results found |