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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125063232 | 12506323 | 2 | F | 2012 | 20160719 | 20160628 | 20160801 | EXP | CA-HQ SPECIALTY-CA-2016INT000422 | INTERCHEM | 58.00 | YR | F | Y | 0.00000 | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125063232 | 12506323 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | UNK | U | 201749 | |||||||||
| 125063232 | 12506323 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 25 MG, UNK | U | 201749 | 25 | MG | |||||||
| 125063232 | 12506323 | 3 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 125063232 | 12506323 | 4 | C | ORENCIA | ABATACEPT | 1 | Intravenous (not otherwise specified) | 17.8571 MG (500 MG,1 IN 4 W) | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125063232 | 12506323 | 1 | Rheumatoid arthritis |
| 125063232 | 12506323 | 3 | Rheumatoid arthritis |
| 125063232 | 12506323 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125063232 | 12506323 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125063232 | 12506323 | Breast cancer | |
| 125063232 | 12506323 | Gait disturbance | |
| 125063232 | 12506323 | Peripheral swelling | |
| 125063232 | 12506323 | Synovitis |
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 |
|---|---|---|---|---|---|---|
| 125063232 | 12506323 | 2 | 201407 | 0 | ||
| 125063232 | 12506323 | 4 | 201509 | 20160605 | 0 |