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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114190955 | 11419095 | 5 | F | 2014 | 20160905 | 20150826 | 20160906 | EXP | BR-ROCHE-1519472 | ROCHE | 0.00 | F | Y | 65.00000 | KG | 20160906 | MD | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114190955 | 11419095 | 1 | PS | MABTHERA | RITUXIMAB | 1 | Intravenous (not otherwise specified) | ON 26/MAY/2015, RECEIVED ONOTHER DOSE?MOSR RECENT DOSE ON 15/JAN/2016 | U | 103705 | SOLUTION FOR INFUSION | ||||||||
| 114190955 | 11419095 | 2 | SS | MABTHERA | RITUXIMAB | 1 | Intravenous (not otherwise specified) | LAST DOSE RECEIVED ON 26-MAY-2015 | U | 103705 | SOLUTION FOR INFUSION | ||||||||
| 114190955 | 11419095 | 3 | SS | MABTHERA | RITUXIMAB | 1 | Intravenous (not otherwise specified) | MOST RECENT DOSE | U | 103705 | SOLUTION FOR INFUSION | ||||||||
| 114190955 | 11419095 | 4 | SS | AVALOX | MOXIFLOXACIN HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 114190955 | 11419095 | 5 | SS | TRAMAL | TRAMADOL | 1 | Unknown | U | 0 | ||||||||||
| 114190955 | 11419095 | 6 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 114190955 | 11419095 | 7 | C | PURAN | LEVOTHYROXINE SODIUM | 1 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | 100 | MG | QD | |||||||
| 114190955 | 11419095 | 8 | C | ARAVA | LEFLUNOMIDE | 1 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | 30 | MG | QD | |||||||
| 114190955 | 11419095 | 9 | C | TORLOS | 2 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | 50 | MG | QD | ||||||||
| 114190955 | 11419095 | 10 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | QD | |||||||||
| 114190955 | 11419095 | 11 | C | OMEGA 3 | OMEGA-3 FATTY ACIDS | 1 | 0 | ||||||||||||
| 114190955 | 11419095 | 12 | C | NPH INSULIN | INSULIN BEEF | 1 | Unknown | 0 | 60 | IU | QD | ||||||||
| 114190955 | 11419095 | 13 | C | INSULIN | INSULIN NOS | 1 | Unknown | 0 | 20 | IU | QD | ||||||||
| 114190955 | 11419095 | 14 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 114190955 | 11419095 | 15 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | 20 | MG | ||||||||
| 114190955 | 11419095 | 16 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | CAPSULE OR TABLET, NOT SPECIFIED | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114190955 | 11419095 | 1 | Rheumatoid arthritis |
| 114190955 | 11419095 | 4 | Product used for unknown indication |
| 114190955 | 11419095 | 5 | Product used for unknown indication |
| 114190955 | 11419095 | 7 | Hypothyroidism |
| 114190955 | 11419095 | 8 | Rheumatoid arthritis |
| 114190955 | 11419095 | 9 | Blood pressure abnormal |
| 114190955 | 11419095 | 15 | Gastric disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 114190955 | 11419095 | HO |
| 114190955 | 11419095 | OT |
| 114190955 | 11419095 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114190955 | 11419095 | Abasia | |
| 114190955 | 11419095 | Arthralgia | |
| 114190955 | 11419095 | Arthropathy | |
| 114190955 | 11419095 | Asthma | |
| 114190955 | 11419095 | Bacterial infection | |
| 114190955 | 11419095 | Blood triglycerides abnormal | |
| 114190955 | 11419095 | Cataract | |
| 114190955 | 11419095 | Drug hypersensitivity | |
| 114190955 | 11419095 | Pain | |
| 114190955 | 11419095 | Speech disorder |
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 |
|---|---|---|---|---|---|---|
| 114190955 | 11419095 | 1 | 20110425 | 20160101 | 0 | |
| 114190955 | 11419095 | 2 | 20150501 | 0 | ||
| 114190955 | 11419095 | 3 | 20160115 | 0 |