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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1069457316 | 10694573 | 16 | F | 20140417 | 20160706 | 20150107 | 20160708 | EXP | CA-ROCHE-1387659 | ROCHE | 53.08 | YR | F | Y | 95.34000 | KG | 20160708 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1069457316 | 10694573 | 1 | PS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | LAST RITUXIMAB INFUSION: 01/MAY/2014 | N | H06913,N3702 | 103705 | 1000 | MG | SOLUTION FOR INFUSION | |||||
1069457316 | 10694573 | 2 | SS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | N | H06913,N3702 | 103705 | 300 | MG | SOLUTION FOR INFUSION | ||||||
1069457316 | 10694573 | 3 | SS | PREDNISONE. | PREDNISONE | 1 | Unknown | U | 0 | ||||||||||
1069457316 | 10694573 | 4 | C | DIPHENHYDRAMINE HYDROCHLORIDE. | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 0 | 50 | MG | |||||||||
1069457316 | 10694573 | 5 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 0 | 650 | MG | |||||||||
1069457316 | 10694573 | 6 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 0 | 100 | MG | |||||||||
1069457316 | 10694573 | 7 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 8 | C | HYDROMORPHONE | HYDROMORPHONE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 9 | C | CYCLOBENZAPRINE | CYCLOBENZAPRINE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 10 | C | METHOTREXATE. | METHOTREXATE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 11 | C | RAMIPRIL. | RAMIPRIL | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 12 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 13 | C | SALBUTAMOL | ALBUTEROL | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 14 | C | ATROVENT | IPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 15 | C | VENLAFAXINE | VENLAFAXINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 16 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 17 | C | ZOPICLONE | ZOPICLONE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 18 | C | PANTOLOC | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 19 | C | NAPROXEN. | NAPROXEN | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 20 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 21 | C | QUETIAPINE. | QUETIAPINE | 1 | 0 | ||||||||||||
1069457316 | 10694573 | 22 | C | TOPIRAMATE. | TOPIRAMATE | 1 | Unknown | 0 | 25 | MG | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
1069457316 | 10694573 | 1 | Rheumatoid arthritis |
1069457316 | 10694573 | 3 | Product used for unknown indication |
1069457316 | 10694573 | 4 | Premedication |
1069457316 | 10694573 | 5 | Premedication |
1069457316 | 10694573 | 6 | Premedication |
1069457316 | 10694573 | 22 | Migraine |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
1069457316 | 10694573 | HO |
1069457316 | 10694573 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
1069457316 | 10694573 | Arthralgia | |
1069457316 | 10694573 | Arthritis | |
1069457316 | 10694573 | Arthropathy | |
1069457316 | 10694573 | Body temperature decreased | |
1069457316 | 10694573 | Cough | |
1069457316 | 10694573 | Emphysema | |
1069457316 | 10694573 | Hot flush | |
1069457316 | 10694573 | Hypoaesthesia | |
1069457316 | 10694573 | Hypotension | |
1069457316 | 10694573 | Influenza like illness | |
1069457316 | 10694573 | Infusion related reaction | |
1069457316 | 10694573 | Joint swelling | |
1069457316 | 10694573 | Lip blister | |
1069457316 | 10694573 | Lung infection | |
1069457316 | 10694573 | Migraine | |
1069457316 | 10694573 | Oral herpes | |
1069457316 | 10694573 | Oxygen saturation decreased | |
1069457316 | 10694573 | Pain in extremity | |
1069457316 | 10694573 | Peripheral swelling | |
1069457316 | 10694573 | Sinus disorder | |
1069457316 | 10694573 | Weight decreased | |
1069457316 | 10694573 | Weight increased | |
1069457316 | 10694573 | Wheezing |
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 |
---|---|---|---|---|---|---|
1069457316 | 10694573 | 1 | 20140417 | 0 | ||
1069457316 | 10694573 | 2 | 20160210 | 0 | ||
1069457316 | 10694573 | 3 | 2015 | 0 | ||
1069457316 | 10694573 | 4 | 20140417 | 0 | ||
1069457316 | 10694573 | 5 | 20140417 | 0 | ||
1069457316 | 10694573 | 6 | 20140417 | 0 |