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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111575397 | 11157539 | 7 | F | 20150506 | 20160824 | 20150603 | 20160826 | EXP | CA-ROCHE-1564671 | ROCHE | 72.65 | YR | F | Y | 0.00000 | 20160826 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111575397 | 11157539 | 1 | PS | ACTEMRA | TOCILIZUMAB | 1 | Subcutaneous | LAST DOSE RECEIVED ON 08/JUN/2015 | 125472 | 162 | MG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | QOW | ||||||
| 111575397 | 11157539 | 2 | SS | PREDNISONE. | PREDNISONE | 1 | Unknown | U | 0 | ||||||||||
| 111575397 | 11157539 | 3 | SS | ASA | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
| 111575397 | 11157539 | 4 | SS | METHOTREXATE. | METHOTREXATE | 1 | Unknown | U | 0 | ||||||||||
| 111575397 | 11157539 | 5 | C | DIAMICRON | GLICLAZIDE | 1 | 0 | ||||||||||||
| 111575397 | 11157539 | 6 | C | GLUCOPHAGE | METFORMIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 111575397 | 11157539 | 7 | C | MONOPRIL | FOSINOPRIL SODIUM | 1 | 0 | ||||||||||||
| 111575397 | 11157539 | 8 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111575397 | 11157539 | 1 | Polyarthritis |
| 111575397 | 11157539 | 2 | Product used for unknown indication |
| 111575397 | 11157539 | 3 | Product used for unknown indication |
| 111575397 | 11157539 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111575397 | 11157539 | LT |
| 111575397 | 11157539 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111575397 | 11157539 | Alopecia | |
| 111575397 | 11157539 | Back pain | |
| 111575397 | 11157539 | Blister | |
| 111575397 | 11157539 | Bone pain | |
| 111575397 | 11157539 | Cerebrovascular accident | |
| 111575397 | 11157539 | Contusion | |
| 111575397 | 11157539 | Erythema | |
| 111575397 | 11157539 | Headache | |
| 111575397 | 11157539 | Hypoaesthesia | |
| 111575397 | 11157539 | Muscle spasms | |
| 111575397 | 11157539 | Oral herpes | |
| 111575397 | 11157539 | Paraesthesia | |
| 111575397 | 11157539 | Transient ischaemic attack |
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 |
|---|---|---|---|---|---|---|
| 111575397 | 11157539 | 1 | 20150330 | 0 | ||
| 111575397 | 11157539 | 2 | 20150317 | 201602 | 0 |