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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4412693 | 4191389 | I | 4412693-3 | 20040201 | 20040317 | 20040630 | PER | 04P-163-0253920-00 | PPD PHARMACOVIGILANCE | 70 | YR | M | N | 20040317 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4412693 | 1005066471 | PS | HUMIRA | 1 | SUBCUTANEOUS | 40 MG, 1 IN 2 WK, SUBCUTANEOUS | D | D | |||
| 4412693 | 1005115923 | C | PREDNISONE | 1 | |||||||
| 4412693 | 1005115924 | C | LEFLUNOMIDE | 1 | |||||||
| 4412693 | 1005115925 | C | ASPIRIN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4412693 | 1005066471 | RHEUMATOID ARTHRITIS |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4412693 | CONDITION AGGRAVATED |
| 4412693 | SINUSITIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4412693 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4412693 | 1005066471 | 20040211 |