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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115958094 | 11595809 | 4 | F | 20160907 | 20151006 | 20160912 | EXP | CA-ROCHE-1641281 | ROCHE | 56.00 | YR | F | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115958094 | 11595809 | 1 | PS | ACTEMRA | TOCILIZUMAB | 1 | Unknown | 125276 | |||||||||||
| 115958094 | 11595809 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 115958094 | 11595809 | 3 | SS | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | U | 0 | ||||||||||
| 115958094 | 11595809 | 4 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | U | 0 | ||||||||||
| 115958094 | 11595809 | 5 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 | ||||||||||||
| 115958094 | 11595809 | 6 | C | INDOMETHACIN. | INDOMETHACIN | 1 | 0 | ||||||||||||
| 115958094 | 11595809 | 7 | C | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 0 | 5 | MG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115958094 | 11595809 | 1 | Rheumatoid arthritis |
| 115958094 | 11595809 | 2 | Rheumatoid arthritis |
| 115958094 | 11595809 | 3 | Rheumatoid arthritis |
| 115958094 | 11595809 | 4 | Rheumatoid arthritis |
| 115958094 | 11595809 | 7 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115958094 | 11595809 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115958094 | 11595809 | Arthralgia | |
| 115958094 | 11595809 | Arthropathy | |
| 115958094 | 11595809 | Drug ineffective | |
| 115958094 | 11595809 | Dysstasia | |
| 115958094 | 11595809 | Fall | |
| 115958094 | 11595809 | Fine motor skill dysfunction | |
| 115958094 | 11595809 | Gait disturbance | |
| 115958094 | 11595809 | Mobility decreased | |
| 115958094 | 11595809 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 115958094 | 11595809 | 4 | 2013 | 0 |