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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122095512 | 12209551 | 2 | F | 2012 | 20160719 | 20160324 | 20160721 | EXP | CA-ROCHE-1235725 | ROCHE | 0.00 | M | Y | 0.00000 | 20160721 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122095512 | 12209551 | 1 | PS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | MOST RECENT DOSE 12/DEC/2012 | 103705 | 1000 | MG | SOLUTION FOR INFUSION | |||||||
| 122095512 | 12209551 | 2 | SS | RITUXAN | RITUXIMAB | 1 | 103705 | ||||||||||||
| 122095512 | 12209551 | 3 | SS | NEUPOGEN | FILGRASTIM | 1 | Unknown | U | 0 | ||||||||||
| 122095512 | 12209551 | 4 | C | METHOTREXATE. | METHOTREXATE | 1 | Unknown | 0 | 15 | MG | |||||||||
| 122095512 | 12209551 | 5 | C | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | 0 | ||||||||||||
| 122095512 | 12209551 | 6 | C | DIPHENHYDRAMINE HCL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 122095512 | 12209551 | 7 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 0 | |||||||||||
| 122095512 | 12209551 | 8 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122095512 | 12209551 | 1 | Vasculitis |
| 122095512 | 12209551 | 2 | Off label use |
| 122095512 | 12209551 | 3 | Product used for unknown indication |
| 122095512 | 12209551 | 6 | Premedication |
| 122095512 | 12209551 | 7 | Premedication |
| 122095512 | 12209551 | 8 | Premedication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122095512 | 12209551 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122095512 | 12209551 | Back pain | |
| 122095512 | 12209551 | Neutropenia | |
| 122095512 | 12209551 | Neutrophil count decreased | |
| 122095512 | 12209551 | Renal pain | |
| 122095512 | 12209551 | 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 |
|---|---|---|---|---|---|---|
| 122095512 | 12209551 | 1 | 20110411 | 0 | ||
| 122095512 | 12209551 | 6 | 20110411 | 0 | ||
| 122095512 | 12209551 | 7 | 20110411 | 0 | ||
| 122095512 | 12209551 | 8 | 20110411 | 0 |