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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125315671 | 12531567 | 1 | I | 20160621 | 20160706 | 20160706 | EXP | CA-HQ SPECIALTY-CA-2016INT000446 | INTERCHEM | 52.00 | YR | F | Y | 0.00000 | 20160706 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125315671 | 12531567 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | UNK | 201749 | ||||||||||
125315671 | 12531567 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | UNK | 201749 | |||||||||||
125315671 | 12531567 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Subcutaneous | UNK | 201749 | ||||||||||
125315671 | 12531567 | 4 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | 2000 MG (1000 MG, 2 IN 1 D) | 0 | 1000 | MG | ||||||||
125315671 | 12531567 | 5 | SS | VOLTAREN | DICLOFENAC SODIUM | 1 | UNK | 0 | |||||||||||
125315671 | 12531567 | 6 | SS | PLAQUENIL SULFATE | HYDROXYCHLOROQUINE SULFATE | 1 | 400 MG (200 MG, 2 IN 1 D) | 0 | 200 | MG | |||||||||
125315671 | 12531567 | 7 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | 10 MG (20 MG, 1 IN 2 D) | U | 0 | 20 | MG |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125315671 | 12531567 | 1 | Rheumatoid arthritis |
125315671 | 12531567 | 4 | Rheumatoid arthritis |
125315671 | 12531567 | 5 | Product used for unknown indication |
125315671 | 12531567 | 6 | Product used for unknown indication |
125315671 | 12531567 | 7 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125315671 | 12531567 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125315671 | 12531567 | Drug intolerance | |
125315671 | 12531567 | Neutropenia | |
125315671 | 12531567 | 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 |
---|---|---|---|---|---|---|
125315671 | 12531567 | 1 | 2009 | 2012 | 0 | |
125315671 | 12531567 | 2 | 201210 | 2015 | 0 | |
125315671 | 12531567 | 3 | 2009 | 2012 | 0 | |
125315671 | 12531567 | 4 | 201309 | 0 | ||
125315671 | 12531567 | 6 | 201309 | 201603 | 0 |