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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121792454 | 12179245 | 4 | F | 201601 | 20160805 | 20160315 | 20160810 | EXP | CA-JNJFOC-20160312006 | JANSSEN | 15.56 | YR | T | F | Y | 44.00000 | KG | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121792454 | 12179245 | 1 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | Y | N | UNKNOWN | 0 | 400 | MG | LYOPHILIZED POWDER | |||||
| 121792454 | 12179245 | 2 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | Y | N | UNKNOWN | 0 | 400 | MG | LYOPHILIZED POWDER | |||||
| 121792454 | 12179245 | 3 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | Y | N | UNKNOWN | 0 | 400 | MG | LYOPHILIZED POWDER | |||||
| 121792454 | 12179245 | 4 | PS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | Y | N | UNKNOWN | 103772 | 500 | MG | LYOPHILIZED POWDER |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121792454 | 12179245 | 1 | Colitis ulcerative |
| 121792454 | 12179245 | 2 | Colitis ulcerative |
| 121792454 | 12179245 | 3 | Colitis ulcerative |
| 121792454 | 12179245 | 4 | Colitis ulcerative |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121792454 | 12179245 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121792454 | 12179245 | Blister | |
| 121792454 | 12179245 | Colitis ulcerative | |
| 121792454 | 12179245 | General physical health deterioration | |
| 121792454 | 12179245 | Off label use | |
| 121792454 | 12179245 | Product use issue |
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 |
|---|---|---|---|---|---|---|
| 121792454 | 12179245 | 1 | 20160603 | 0 | ||
| 121792454 | 12179245 | 2 | 20160309 | 0 | ||
| 121792454 | 12179245 | 4 | 201601 | 0 |