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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123047952 | 12304795 | 2 | F | 20160919 | 20160426 | 20160921 | EXP | CA-ROCHE-1747513 | ROCHE | 84.00 | YR | F | Y | 0.00000 | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123047952 | 12304795 | 1 | PS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | U | 103705 | SOLUTION FOR INFUSION | |||||||||
| 123047952 | 12304795 | 2 | SS | ARAVA | LEFLUNOMIDE | 1 | Unknown | U | 0 | 20 | MG | TABLET | |||||||
| 123047952 | 12304795 | 3 | SS | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | THERAPY DURATION: 3 YEARS | U | 0 | 40 | MG | QOW | ||||||
| 123047952 | 12304795 | 4 | SS | HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE | 1 | Unknown | EVERY 1 DAY(S) | U | 0 | 400 | MG | QD | ||||||
| 123047952 | 12304795 | 5 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | EVERY 1 WEEK(S) | U | 0 | 25 | MG | |||||||
| 123047952 | 12304795 | 6 | SS | ORENCIA | ABATACEPT | 1 | Unknown | U | 0 | ||||||||||
| 123047952 | 12304795 | 7 | SS | SIMPONI | GOLIMUMAB | 1 | Subcutaneous | U | 0 | ||||||||||
| 123047952 | 12304795 | 8 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123047952 | 12304795 | 1 | Rheumatoid arthritis |
| 123047952 | 12304795 | 2 | Rheumatoid arthritis |
| 123047952 | 12304795 | 3 | Rheumatoid arthritis |
| 123047952 | 12304795 | 4 | Rheumatoid arthritis |
| 123047952 | 12304795 | 5 | Rheumatoid arthritis |
| 123047952 | 12304795 | 6 | Rheumatoid arthritis |
| 123047952 | 12304795 | 7 | Rheumatoid arthritis |
| 123047952 | 12304795 | 8 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123047952 | 12304795 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123047952 | 12304795 | Back injury | |
| 123047952 | 12304795 | Fall | |
| 123047952 | 12304795 | Treatment failure |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |