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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99637842 | 9963784 | 2 | F | 20130201 | 20140825 | 20140305 | 20141001 | EXP | US-ABBVIE-13P-163-1117482-00 | ABBVIE | 44.03 | YR | M | Y | 0.00000 | 20141001 | N | CN | COUNTRY NOT SPECIFIED | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99637842 | 9963784 | 1 | PS | HUMIRA | ADALIMUMAB | 1 | D | UNKNOWN | 125057 | 40 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | QOW | ||||||
| 99637842 | 9963784 | 2 | C | DILANTIN | PHENYTOIN | 1 | 5 TABS IN MORNING AND 5 TABS AT NIGHT | D | 0 | 5 | DF | TABLET | BID | ||||||
| 99637842 | 9963784 | 3 | C | MVI | VITAMINS | 1 | ONE DAILY | D | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 99637842 | 9963784 | 1 | Crohn's disease |
| 99637842 | 9963784 | 2 | Seizure |
| 99637842 | 9963784 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 99637842 | 9963784 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 99637842 | 9963784 | Abdominal pain | |
| 99637842 | 9963784 | Faecal volume decreased | |
| 99637842 | 9963784 | Fistula discharge | |
| 99637842 | 9963784 | Flatulence | |
| 99637842 | 9963784 | Gastrointestinal stoma complication | |
| 99637842 | 9963784 | Haemorrhage | |
| 99637842 | 9963784 | Infected fistula | |
| 99637842 | 9963784 | Pain |
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 |
|---|---|---|---|---|---|---|
| 99637842 | 9963784 | 1 | 20130201 | 0 |