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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120621475 | 12062147 | 5 | F | 20150709 | 20160923 | 20160210 | 20160929 | EXP | CA-PFIZER INC-2015236014 | PFIZER | 47.00 | YR | F | Y | 0.00000 | 20160929 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120621475 | 12062147 | 1 | PS | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 5 MG, 2X/DAY | 203214 | 5 | MG | TABLET | BID | ||||||
| 120621475 | 12062147 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | 0.8 ML, WEEKLY INJECTION | Y | 11719 | .8 | ML | SOLUTION FOR INJECTION | /wk | ||||||
| 120621475 | 12062147 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | 0.6 ML, WEEKLY INJECTION | Y | 11719 | .6 | ML | SOLUTION FOR INJECTION | /wk | ||||||
| 120621475 | 12062147 | 4 | SS | POLIOMYELITIS VACCINE NOS | POLIOMYELITIS VACCINE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120621475 | 12062147 | 1 | Rheumatoid arthritis |
| 120621475 | 12062147 | 2 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120621475 | 12062147 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120621475 | 12062147 | Abortion spontaneous | |
| 120621475 | 12062147 | Arthralgia | |
| 120621475 | 12062147 | Chest pain | |
| 120621475 | 12062147 | Condition aggravated | |
| 120621475 | 12062147 | Epistaxis | |
| 120621475 | 12062147 | Headache | |
| 120621475 | 12062147 | Lividity | |
| 120621475 | 12062147 | Muscle twitching | |
| 120621475 | 12062147 | Musculoskeletal stiffness | |
| 120621475 | 12062147 | Myalgia | |
| 120621475 | 12062147 | Nasopharyngitis | |
| 120621475 | 12062147 | Nausea | |
| 120621475 | 12062147 | Oropharyngeal pain | |
| 120621475 | 12062147 | Pain | |
| 120621475 | 12062147 | Productive cough | |
| 120621475 | 12062147 | Pyrexia | |
| 120621475 | 12062147 | Rheumatoid arthritis | |
| 120621475 | 12062147 | Sensitivity to weather change | |
| 120621475 | 12062147 | Skin lesion | |
| 120621475 | 12062147 | Throat irritation | |
| 120621475 | 12062147 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 120621475 | 12062147 | 1 | 20150709 | 0 |