The Safety Rates Drug Report

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Drug     Injury     Quarter    

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
106579223 10657922 3 F 20110119 20110527 20141217 20160902 EXP CA-UCBSA-026175 UCB 55.34 YR F Y 84.00000 KG 20160902 OT CA CA

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
106579223 10657922 1 PS CIMZIA CERTOLIZUMAB PEGOL 1 Subcutaneous 200 MG, EV 2 WEEKS(QOW) 55549 125160 200 MG SOLUTION FOR INJECTION QOW
106579223 10657922 2 C FOLIC ACID. FOLIC ACID 1 Oral 5 MG, WEEKLY (QW) 0 5 MG /wk
106579223 10657922 3 C METHOTREXATE. METHOTREXATE 1 Subcutaneous 25 MG, WEEKLY (QW) 0 25 MG /wk
106579223 10657922 4 C METHOTREXATE. METHOTREXATE 1 10 MG, WEEKLY (QW) 0 10 MG /wk
106579223 10657922 5 C PLAQUENIL HYDROXYCHLOROQUINE SULFATE 1 Oral 200 MG, ONCE DAILY (QD) 0 200 MG QD
106579223 10657922 6 C VOLTAREN DICLOFENAC SODIUM 1 Oral 75 MG, AS NEEDED (PRN) 0 75 MG
106579223 10657922 7 C EMTEC 2 Oral 30 MG, AS NEEDED (PRN) 0 30 MG
106579223 10657922 8 C AVELOX MOXIFLOXACIN HYDROCHLORIDE 1 Oral 400 MG, ONCE DAILY (QD) U 0 400 MG QD
106579223 10657922 9 C NASONEX MOMETASONE FUROATE 1 U 0

Indications of drugs used

Event ID CASEID INDI DRUG SEQ INDI PT
106579223 10657922 1 Rheumatoid arthritis
106579223 10657922 2 Rheumatoid arthritis
106579223 10657922 3 Rheumatoid arthritis
106579223 10657922 5 Rheumatoid arthritis
106579223 10657922 6 Rheumatoid arthritis
106579223 10657922 7 Rheumatoid arthritis
106579223 10657922 8 Sinusitis

Outcome of event

Event ID CASEID OUTC COD
106579223 10657922 OT

Reactions reported

Event ID CASEID DRUG REC ACT PT
106579223 10657922 Arthralgia
106579223 10657922 Cough
106579223 10657922 Dyspnoea
106579223 10657922 Fatigue
106579223 10657922 Injection site pain
106579223 10657922 Nasal congestion
106579223 10657922 Neuralgia
106579223 10657922 Rhinorrhoea
106579223 10657922 Sinusitis

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
106579223 10657922 1 20101222 0
106579223 10657922 2 200809 0
106579223 10657922 3 200809 20110303 0
106579223 10657922 4 20110304 0
106579223 10657922 5 200711 20110304 0
106579223 10657922 7 20101206 0