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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120472933 | 12047293 | 3 | F | 201412 | 20160816 | 20160209 | 20160819 | EXP | CA-ROCHE-1540030 | ROCHE | 35.33 | YR | F | Y | 0.00000 | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120472933 | 12047293 | 1 | PS | ACTEMRA | TOCILIZUMAB | 1 | Subcutaneous | ON HOLD | N | UNKNOWN | 125472 | 162 | MG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | /wk | ||||
| 120472933 | 12047293 | 2 | C | LYRICA | PREGABALIN | 1 | 0 | ||||||||||||
| 120472933 | 12047293 | 3 | C | METHOTREXATE. | METHOTREXATE | 1 | 0 | ||||||||||||
| 120472933 | 12047293 | 4 | C | PREDNISONE. | PREDNISONE | 1 | 0 | ||||||||||||
| 120472933 | 12047293 | 5 | C | EMTEC (CANADA) | 2 | 0 | |||||||||||||
| 120472933 | 12047293 | 6 | C | NADOLOL. | NADOLOL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120472933 | 12047293 | 1 | Juvenile idiopathic arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120472933 | 12047293 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120472933 | 12047293 | Arthralgia | |
| 120472933 | 12047293 | Fall | |
| 120472933 | 12047293 | Fatigue | |
| 120472933 | 12047293 | Fracture | |
| 120472933 | 12047293 | Joint injury | |
| 120472933 | 12047293 | Off label use | |
| 120472933 | 12047293 | Pneumonia | |
| 120472933 | 12047293 | Pneumothorax |
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 |
|---|---|---|---|---|---|---|
| 120472933 | 12047293 | 1 | 20141103 | 0 |