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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119997873 | 11999787 | 3 | F | 20150805 | 20160810 | 20160204 | 20160812 | EXP | CA-ROCHE-1618751 | ROCHE | 61.80 | YR | M | Y | 0.00000 | 20160812 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119997873 | 11999787 | 1 | PS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | U | N3701,N3722 | 103705 | 1000 | MG | SOLUTION FOR INFUSION | ||||||
| 119997873 | 11999787 | 2 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Unknown | Y | 0 | ||||||||||
| 119997873 | 11999787 | 3 | C | DIPHENHYDRAMINE HCL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 0 | 50 | MG | |||||||||
| 119997873 | 11999787 | 4 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 0 | 100 | MG | |||||||||
| 119997873 | 11999787 | 5 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 0 | 650 | MG | |||||||||
| 119997873 | 11999787 | 6 | C | PREGABALIN. | PREGABALIN | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 7 | C | ROSUVASTATIN. | ROSUVASTATIN | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 8 | C | AAS | ASPIRIN | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 9 | C | COVERSYL | PERINDOPRIL | 1 | Unknown | 0 | 2 | MG | |||||||||
| 119997873 | 11999787 | 10 | C | DEXILANT | DEXLANSOPRAZOLE | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 11 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 12 | C | PREDNISONE. | PREDNISONE | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 13 | C | ACTONEL | RISEDRONATE SODIUM | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 14 | C | METHOTREXATE. | METHOTREXATE | 1 | 0 | ||||||||||||
| 119997873 | 11999787 | 15 | C | HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119997873 | 11999787 | 1 | Rheumatoid arthritis |
| 119997873 | 11999787 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119997873 | 11999787 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119997873 | 11999787 | Blood pressure increased | |
| 119997873 | 11999787 | Cough | |
| 119997873 | 11999787 | Drug hypersensitivity | |
| 119997873 | 11999787 | Fatigue | |
| 119997873 | 11999787 | Immune system disorder | |
| 119997873 | 11999787 | Infusion related reaction | |
| 119997873 | 11999787 | Oxygen saturation decreased | |
| 119997873 | 11999787 | Pyrexia | |
| 119997873 | 11999787 | White blood cell count decreased |
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 |
|---|---|---|---|---|---|---|
| 119997873 | 11999787 | 1 | 20150805 | 0 | ||
| 119997873 | 11999787 | 3 | 20150805 | 0 | ||
| 119997873 | 11999787 | 4 | 20150805 | 0 | ||
| 119997873 | 11999787 | 5 | 20150805 | 0 |