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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123986432 | 12398643 | 2 | F | 20160816 | 20160524 | 20160823 | EXP | CA-PFIZER INC-2015300227 | PFIZER | 0.00 | A | F | Y | 0.00000 | 20160823 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123986432 | 12398643 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 15 MG, WEEKLY | 11719 | 15 | MG | TABLET | /wk | ||||||
| 123986432 | 12398643 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 6 DF, WEEKLY | 11719 | 6 | DF | TABLET | /wk | ||||||
| 123986432 | 12398643 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 15 MG, WEEKLY | 11719 | 15 | MG | TABLET | /wk | ||||||
| 123986432 | 12398643 | 4 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | UNK, DAILY | Y | 7073 | |||||||||
| 123986432 | 12398643 | 5 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | 500 MG, 2X/DAY | Y | 7073 | 500 | MG | BID | ||||||
| 123986432 | 12398643 | 6 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Oral | 1 DF, 1X/DAY | Y | 0 | 1 | DF | TABLET | QD | |||||
| 123986432 | 12398643 | 7 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Oral | 200 MG, 2X/DAY | Y | 0 | 200 | MG | TABLET | BID | |||||
| 123986432 | 12398643 | 8 | C | PREDNISONE. | PREDNISONE | 1 | Oral | 1 DF, 1X/DAY | 0 | 1 | DF | TABLET | QD | ||||||
| 123986432 | 12398643 | 9 | C | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | Oral | 1 DF, 1X/DAY | 0 | 1 | DF | TABLET | QD | ||||||
| 123986432 | 12398643 | 10 | C | HYDROTHIAZIDE | 2 | Oral | 1 DF, 1X/DAY | 0 | 1 | DF | TABLET | QD | |||||||
| 123986432 | 12398643 | 11 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 1 DF ONCE DAILY EXCEPT ON DAYS WHEN PATIENT TAKES METHOTREXATE | 0 | 1 | DF | TABLET | |||||||
| 123986432 | 12398643 | 12 | C | GLUCOSAMINE | GLUCOSAMINE | 1 | Oral | UNK, 1X/DAY | 0 | QD | |||||||||
| 123986432 | 12398643 | 13 | C | MULTIVITAMINS | VITAMINS | 1 | Oral | UNK, 1X/DAY | 0 | QD | |||||||||
| 123986432 | 12398643 | 14 | C | VITAMIN C | ASCORBIC ACID | 1 | Oral | UNK, 1X/DAY | 0 | QD | |||||||||
| 123986432 | 12398643 | 15 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Oral | UNK, 1X/DAY | 0 | QD | |||||||||
| 123986432 | 12398643 | 16 | C | TYLENOL ARTHRITIS PAIN | ACETAMINOPHEN | 1 | UNK, AS NEEDED | 0 | |||||||||||
| 123986432 | 12398643 | 17 | C | TOVIAZ | FESOTERODINE FUMARATE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123986432 | 12398643 | 1 | Rheumatoid arthritis |
| 123986432 | 12398643 | 4 | Rheumatoid arthritis |
| 123986432 | 12398643 | 6 | Rheumatoid arthritis |
| 123986432 | 12398643 | 8 | Rheumatoid arthritis |
| 123986432 | 12398643 | 9 | Rheumatoid arthritis |
| 123986432 | 12398643 | 16 | Pain |
| 123986432 | 12398643 | 17 | Pollakiuria |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123986432 | 12398643 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123986432 | 12398643 | Bladder disorder | |
| 123986432 | 12398643 | Cystitis | |
| 123986432 | 12398643 | Malaise | |
| 123986432 | 12398643 | Peripheral swelling | |
| 123986432 | 12398643 | Pollakiuria | |
| 123986432 | 12398643 | Retinal toxicity |
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 |
|---|---|---|---|---|---|---|
| 123986432 | 12398643 | 4 | 201411 | 0 | ||
| 123986432 | 12398643 | 5 | 201508 | 0 | ||
| 123986432 | 12398643 | 6 | 201310 | 0 | ||
| 123986432 | 12398643 | 7 | 201408 | 0 |