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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124969552 | 12496955 | 2 | F | 201604 | 20160720 | 20160624 | 20160803 | EXP | CA-HQ SPECIALTY-CA-2016INT000419 | INTERCHEM | 69.00 | YR | F | Y | 0.00000 | 20160803 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124969552 | 12496955 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | UNK | 201749 | ||||||||||
| 124969552 | 12496955 | 2 | SS | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 10 MG, (5 MG, 2 IN 1 D) | 60 | MG | 0 | 5 | MG | ||||||
| 124969552 | 12496955 | 3 | SS | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 10 MG, (5 MG, 2 IN 1 D) | 60 | MG | 0 | 5 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124969552 | 12496955 | 1 | Rheumatoid arthritis |
| 124969552 | 12496955 | 2 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124969552 | 12496955 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124969552 | 12496955 | Alopecia | |
| 124969552 | 12496955 | Cataract |
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 |
|---|---|---|---|---|---|---|
| 124969552 | 12496955 | 2 | 20160427 | 20160502 | 0 | |
| 124969552 | 12496955 | 3 | 20160601 | 0 |