Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90621593 | 9062159 | 3 | F | 20120504 | 20130619 | 20130127 | 20130630 | EXP | DK-TEVA-381372ISR | TEVA | 65.02 | YR | F | Y | 0.00000 | 20130630 | MD | DK | DK |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 90621593 | 9062159 | 1 | PS | METHOTREXATE | 1 | SUBCUTANEOUS | U | 81099 | 15 | MG | /wk | ||||||||
| 90621593 | 9062159 | 2 | SS | METHOTREXATE | 1 | SUBCUTANEOUS | U | 81099 | |||||||||||
| 90621593 | 9062159 | 3 | SS | HUMIRA | 1 | 4371.30952 | MG | U | 0 | 40 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 90621593 | 9062159 | 4 | C | HYDROXYCHLOROQUINE | 1 | D | 0 | ||||||||||||
| 90621593 | 9062159 | 5 | C | SALAZOPYRIN | 1 | D | 0 | ||||||||||||
| 90621593 | 9062159 | 6 | C | METHOTREXATE | 1 | ORAL | D | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 90621593 | 9062159 | 1 | Rheumatoid arthritis |
| 90621593 | 9062159 | 3 | Rheumatoid arthritis |
| 90621593 | 9062159 | 5 | Rheumatoid arthritis |
| 90621593 | 9062159 | 6 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 90621593 | 9062159 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 90621593 | 9062159 | Dermatitis | |
| 90621593 | 9062159 | Eczema infected | |
| 90621593 | 9062159 | Leukocytoclastic vasculitis | |
| 90621593 | 9062159 | Pruritus | |
| 90621593 | 9062159 | Skin plaque |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 90621593 | 9062159 | 1 | 20080616 | 20100217 | 0 | |
| 90621593 | 9062159 | 2 | 20100721 | 20120217 | 0 | |
| 90621593 | 9062159 | 3 | 20080225 | 20120711 | 0 | |
| 90621593 | 9062159 | 4 | 20081211 | 20090602 | 0 | |
| 90621593 | 9062159 | 5 | 20081211 | 20090602 | 0 | |
| 90621593 | 9062159 | 6 | 20080225 | 20080615 | 0 |