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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4542780 | 3571955 | F | 4542780-0 | 20000914 | 20001110 | 20041231 | EXP | 200022074US | AVENTIS PHARMACEUTICALS, INC. | F | Y | 65.5 | KG | 20041231 | MD |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4542780 | 1005546978 | PS | ARAVA | 1 | ORAL | UNK | |||||
| 4542780 | 1005546979 | C | METHOTREXATE | 1 | DOSE: 2.5 TABS: SIX TABS | UNK | |||||
| 4542780 | 1005546980 | C | LEUCOVORIN | 2 | UNK | ||||||
| 4542780 | 1005546981 | C | FELDENE | 1 | UNK | ||||||
| 4542780 | 1005546982 | C | CALCIUM CARBONATE | 2 | UNK | ||||||
| 4542780 | 1005546983 | C | TYLENOL W/ CODEINE NO. 3 | 1 | DOSE: ONE TO TWO Q6H | UNK | |||||
| 4542780 | 1005546984 | C | FLOVENT | 1 | DOSE: 2 PUFFS | UNK | |||||
| 4542780 | 1005546985 | C | IRON SULFATETHIAMIN COMPOUND TAB | 1 | UNK |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4542780 | 1005546978 | RHEUMATOID ARTHRITIS |
| 4542780 | 1005546981 | RASH |
| 4542780 | 1005546983 | ARTHRALGIA |
| 4542780 | 1005546984 | BRONCHOSPASM |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4542780 | HO |
| 4542780 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4542780 | ABDOMINAL PAIN |
| 4542780 | ATRIAL FLUTTER |
| 4542780 | BLOOD ALKALINE PHOSPHATASE INCREASED |
| 4542780 | CARDIAC FAILURE CONGESTIVE |
| 4542780 | CARDIOMYOPATHY |
| 4542780 | DEEP VEIN THROMBOSIS |
| 4542780 | EJECTION FRACTION |
| 4542780 | HEPATOMEGALY |
| 4542780 | HYPERTENSION |
| 4542780 | LUNG INFILTRATION |
| 4542780 | PLEURAL EFFUSION |
| 4542780 | PNEUMONIA |
| 4542780 | PULMONARY EMBOLISM |
| 4542780 | PYREXIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4542780 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4542780 | 1005546978 | 19990111 | 20000926 | ||
| 4542780 | 1005546979 | 20001129 |