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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4646880 | 5807419 | I | 4646880-6 | 20030101 | 20050217 | 20050331 | PER | 05P-163-0291088-00 | PPD PHARMACOVIGILANCE | 25 | YR | F | N | 150 | LBS | 20050217 | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4646880 | 1005921177 | PS | HUMIRA | 1 | SUBCUTANEOUS | 40 MG, 1 IN 2 WK, SUBCUTANEOUS | D | D | |||
| 4646880 | 1006054619 | C | PREDNISONE | 1 | |||||||
| 4646880 | 1006054620 | C | SULFASALAZINE | 1 | |||||||
| 4646880 | 1006054621 | C | DARVOCET | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4646880 | 1005921177 | RHEUMATOID ARTHRITIS |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4646880 | INJECTION SITE IRRITATION |
| 4646880 | INJECTION SITE PAIN |
| 4646880 | INJECTION SITE URTICARIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4646880 | CSM |
| 4646880 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4646880 | 1005921177 | 20030101 |