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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115728315 | 11572831 | 5 | F | 201212 | 20160902 | 20150929 | 20160909 | EXP | US-AMGEN-USASL2015097960 | AMGEN | 55.00 | YR | A | M | Y | 112.47000 | KG | 20160909 | MD | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115728315 | 11572831 | 1 | PS | ENBREL | ETANERCEPT | 1 | Subcutaneous | 50 MG, QWK | Y | 103795 | 50 | MG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | /wk | |||||
| 115728315 | 11572831 | 2 | SS | VALRUBICIN | VALRUBICIN | 1 | Unknown | UNK | 0 | ||||||||||
| 115728315 | 11572831 | 3 | SS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115728315 | 11572831 | 1 | Ankylosing spondylitis |
| 115728315 | 11572831 | 2 | Bladder cancer |
| 115728315 | 11572831 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115728315 | 11572831 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115728315 | 11572831 | Abasia | |
| 115728315 | 11572831 | Bladder cancer | |
| 115728315 | 11572831 | Drug ineffective | |
| 115728315 | 11572831 | Emotional distress | |
| 115728315 | 11572831 | Incorrect product storage | |
| 115728315 | 11572831 | Injection site pain | |
| 115728315 | 11572831 | Mobility decreased | |
| 115728315 | 11572831 | Nausea | |
| 115728315 | 11572831 | Pain | |
| 115728315 | 11572831 | Vomiting | |
| 115728315 | 11572831 | Wheelchair user |
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 |
|---|---|---|---|---|---|---|
| 115728315 | 11572831 | 1 | 200505 | 0 |