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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112893865 | 11289386 | 5 | F | 2015 | 20160819 | 20150721 | 20160826 | EXP | CA-UCBSA-2015023071 | UCB | 0.00 | F | Y | 0.00000 | 20160826 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112893865 | 11289386 | 1 | PS | Certolizumab pegol | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 400 MG, EV 2 WEEKS(QOW) | Y | U | 120320 | 125160 | 400 | MG | QOW | ||||
| 112893865 | 11289386 | 2 | SS | Certolizumab pegol | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 200 MG, EV 2 WEEKS(QOW) | Y | U | 125160 | 200 | MG | QOW | |||||
| 112893865 | 11289386 | 3 | SS | Certolizumab pegol | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 200 MG, EV 2 WEEKS(QOW) | Y | U | 125160 | 200 | MG | QOW | |||||
| 112893865 | 11289386 | 4 | SS | METHOTREXATE. | METHOTREXATE | 1 | UNK | U | 0 | ||||||||||
| 112893865 | 11289386 | 5 | SS | METHOTREXATE. | METHOTREXATE | 1 | 20 MG, WEEKLY (QW) | U | 0 | 20 | MG | /wk | |||||||
| 112893865 | 11289386 | 6 | C | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | 200 MG, 2X/DAY (BID) | U | 0 | 200 | MG | BID | |||||||
| 112893865 | 11289386 | 7 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | 150 MG, 2X/DAY (BID) | U | 0 | 150 | MG | BID | |||||||
| 112893865 | 11289386 | 8 | C | FOLIC ACID. | FOLIC ACID | 1 | 1 MG, ONCE DAILY (QD) | U | 0 | 1 | MG | QD | |||||||
| 112893865 | 11289386 | 9 | C | CELEBREX | CELECOXIB | 1 | 200 MG, 2X/DAY (BID) | U | 0 | 200 | MG | BID | |||||||
| 112893865 | 11289386 | 10 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | UNK, 2X/DAY (BID) | U | 0 | BID | |||||||||
| 112893865 | 11289386 | 11 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | AT BED TIME,PRN | U | 0 | ||||||||||
| 112893865 | 11289386 | 12 | C | NUCYNTA | TAPENTADOL HYDROCHLORIDE | 1 | 50 MG, 3X/DAY (TID) | U | 0 | 50 | MG | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 112893865 | 11289386 | 1 | Rheumatoid arthritis |
| 112893865 | 11289386 | 4 | Product used for unknown indication |
| 112893865 | 11289386 | 6 | Product used for unknown indication |
| 112893865 | 11289386 | 7 | Product used for unknown indication |
| 112893865 | 11289386 | 8 | Product used for unknown indication |
| 112893865 | 11289386 | 9 | Product used for unknown indication |
| 112893865 | 11289386 | 10 | Product used for unknown indication |
| 112893865 | 11289386 | 11 | Product used for unknown indication |
| 112893865 | 11289386 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 112893865 | 11289386 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 112893865 | 11289386 | Arthralgia | |
| 112893865 | 11289386 | Asthenia | |
| 112893865 | 11289386 | Cough | |
| 112893865 | 11289386 | Gait disturbance | |
| 112893865 | 11289386 | Nasopharyngitis | |
| 112893865 | 11289386 | Oral herpes | |
| 112893865 | 11289386 | Oropharyngeal pain | |
| 112893865 | 11289386 | Pain | |
| 112893865 | 11289386 | Pharyngitis | |
| 112893865 | 11289386 | Pneumonia |
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 |
|---|---|---|---|---|---|---|
| 112893865 | 11289386 | 1 | 20150422 | 20150520 | 0 | |
| 112893865 | 11289386 | 2 | 20150603 | 201507 | 0 | |
| 112893865 | 11289386 | 3 | 20150804 | 201510 | 0 | |
| 112893865 | 11289386 | 5 | 20151013 | 0 | ||
| 112893865 | 11289386 | 6 | 20151013 | 0 | ||
| 112893865 | 11289386 | 7 | 20151013 | 0 | ||
| 112893865 | 11289386 | 8 | 20151013 | 0 | ||
| 112893865 | 11289386 | 9 | 20151013 | 0 | ||
| 112893865 | 11289386 | 10 | 20151013 | 0 | ||
| 112893865 | 11289386 | 11 | 20151013 | 0 | ||
| 112893865 | 11289386 | 12 | 20151013 | 0 |