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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4411487 | 4181947 | I | 4411487-2 | 20040302 | 20040331 | 20040630 | PER | 04P-163-0255526-00 | PPD PHARMACOVIGILANCE | 57 | YR | F | N | 140 | LBS | 20040331 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4411487 | 1005061350 | PS | HUMIRA | 1 | SUBCUTANEOUS | 40 MG, 1 IN 2 WK, SUBCUTANEOUS | Y | D | |||
| 4411487 | 1005077485 | C | METHOTREXATE | 2 | |||||||
| 4411487 | 1005077486 | C | GLUCOPHAGE | 1 | |||||||
| 4411487 | 1005077487 | C | TAMOXIFEN CITRATE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4411487 | 1005061350 | RHEUMATOID ARTHRITIS |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4411487 | DIZZINESS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4411487 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4411487 | 1005061350 | 20040302 | 20040330 |