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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465978 | 5664781 | I | 4465978-9 | 20040920 | 20040930 | EXP | STA-AE-04-MTX-424 | STADA PHARMACEUTICALS, INC. | 74 | YR | F | N | 20040920 | OT | 20040910 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4465978 | 1005265065 | PS | METHOTREXATE | 1 | ORAL | 7.5 MG 1X PER 1 WK, ORAL | D | D | 8085 | ||
| 4465978 | 1005287341 | C | ATENOLOL | 1 | |||||||
| 4465978 | 1005287342 | C | PERINDOPRIL (PERINDOPRIL) | 2 | |||||||
| 4465978 | 1005287343 | C | BUMETANIDE | 1 | |||||||
| 4465978 | 1005287345 | C | RISEDRONATE (RISEDRONATE) | 2 | |||||||
| 4465978 | 1005287349 | C | CALCIUM CARBONATE (CALCIUM CARBONATE) | 2 | |||||||
| 4465978 | 1005287351 | C | ASCORBIC ACID | 1 | |||||||
| 4465978 | 1005287353 | C | PREDNISOLONE | 1 | |||||||
| 4465978 | 1005287355 | C | ROFECOXIB | 1 | |||||||
| 4465978 | 1005287358 | C | SIMVASTATIN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4465978 | 1005265065 | RHEUMATOID ARTHRITIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4465978 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4465978 | NEUTROPENIC SEPSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4465978 | DT |
| 4465978 | FGN |
| 4465978 | HP |
| 4465978 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4465978 | 1005265065 | 20040820 | 20040905 |