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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 91179133 | 9117913 | 3 | F | 201301 | 20130621 | 20130208 | 20130630 | EXP | DE-ABBOTT-13P-062-1036002-00 | ABBOTT | 21.14 | YR | F | Y | 83.00000 | KG | 20130630 | MD | COUNTRY NOT SPECIFIED | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 91179133 | 9117913 | 1 | PS | HUMIRA | 1 | D | UNKNOWN | 125057 | 40 | MG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | QOW | |||||||
| 91179133 | 9117913 | 2 | SS | HUMIRA | 1 | D | UNKNOWN | 125057 | |||||||||||
| 91179133 | 9117913 | 3 | C | SALOFALK | 1 | UNKNOWN | D | 0 | |||||||||||
| 91179133 | 9117913 | 4 | C | CROTISONE | 2 | UNKNOWN | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 91179133 | 9117913 | 1 | Crohn's disease |
| 91179133 | 9117913 | 3 | Crohn's disease |
| 91179133 | 9117913 | 4 | Crohn's disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 91179133 | 9117913 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 91179133 | 9117913 | Abdominal pain | |
| 91179133 | 9117913 | Colitis | |
| 91179133 | 9117913 | Gastrointestinal inflammation |
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 |
|---|---|---|---|---|---|---|
| 91179133 | 9117913 | 1 | 20121130 | 20130111 | 0 | |
| 91179133 | 9117913 | 2 | 20130215 | 0 |