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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125375871 | 12537587 | 1 | I | 20160622 | 20160707 | 20160707 | EXP | CA-HQ SPECIALTY-CA-2016INT000467 | INTERCHEM | 36.00 | YR | M | Y | 0.00000 | 20160707 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125375871 | 12537587 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | UNK | N | 201749 | |||||||||
| 125375871 | 12537587 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Subcutaneous | 20 MG | N | 201749 | 20 | MG | |||||||
| 125375871 | 12537587 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Subcutaneous | 3.5714 MG (25 MG, 1 IN 1 W) | N | 201749 | 25 | MG | |||||||
| 125375871 | 12537587 | 4 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | 50 MG, 1 W | N | 0 | 50 | MG | |||||||
| 125375871 | 12537587 | 5 | SS | PLAQUENIL /00072602/ | HYDROXYCHLOROQUINE DIPHOSPHATE | 1 | 200 MG | N | 0 | 200 | MG | ||||||||
| 125375871 | 12537587 | 6 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | 1000 MG (500 MG, 2 IN 1 D) | N | 0 | 500 | MG | |||||||
| 125375871 | 12537587 | 7 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | 2000 MG (1000 MG, 2 IN 1 D) | N | 0 | 1000 | MG | ||||||||
| 125375871 | 12537587 | 8 | SS | HUMIRA | ADALIMUMAB | 1 | 2.8571 MG (40 MG, 1 IN 2 W) | N | 0 | 40 | MG | ||||||||
| 125375871 | 12537587 | 9 | SS | RITUXAN | RITUXIMAB | 1 | 0.0111 G (2 G, 1 IN 6 MO) | N | 0 | 2 | G | ||||||||
| 125375871 | 12537587 | 10 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | 10 MG (10 MG, 1 IN 1 D) | N | 0 | 10 | MG | ||||||||
| 125375871 | 12537587 | 11 | SS | ACTEMRA | TOCILIZUMAB | 1 | UNK | N | 0 | ||||||||||
| 125375871 | 12537587 | 12 | SS | ORENCIA | ABATACEPT | 1 | UNK | N | 0 | ||||||||||
| 125375871 | 12537587 | 13 | SS | GOLD | GOLD | 1 | UNK | N | 0 | INJECTION | |||||||||
| 125375871 | 12537587 | 14 | SS | PREDNISONE. | PREDNISONE | 1 | 20 MG, 1 D | U | 0 | 20 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125375871 | 12537587 | 1 | Rheumatoid arthritis |
| 125375871 | 12537587 | 4 | Rheumatoid arthritis |
| 125375871 | 12537587 | 5 | Rheumatoid arthritis |
| 125375871 | 12537587 | 6 | Rheumatoid arthritis |
| 125375871 | 12537587 | 8 | Rheumatoid arthritis |
| 125375871 | 12537587 | 9 | Rheumatoid arthritis |
| 125375871 | 12537587 | 10 | Rheumatoid arthritis |
| 125375871 | 12537587 | 11 | Rheumatoid arthritis |
| 125375871 | 12537587 | 12 | Rheumatoid arthritis |
| 125375871 | 12537587 | 13 | Rheumatoid arthritis |
| 125375871 | 12537587 | 14 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125375871 | 12537587 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125375871 | 12537587 | Activities of daily living impaired | |
| 125375871 | 12537587 | Drug ineffective | |
| 125375871 | 12537587 | Infection | |
| 125375871 | 12537587 | Insomnia | |
| 125375871 | 12537587 | Rheumatoid arthritis |
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 |
|---|---|---|---|---|---|---|
| 125375871 | 12537587 | 2 | 200606 | 0 | ||
| 125375871 | 12537587 | 4 | 200612 | 200704 | 0 | |
| 125375871 | 12537587 | 5 | 200411 | 200702 | 0 | |
| 125375871 | 12537587 | 6 | 200612 | 0 | ||
| 125375871 | 12537587 | 7 | 200704 | 0 | ||
| 125375871 | 12537587 | 8 | 200706 | 200712 | 0 | |
| 125375871 | 12537587 | 9 | 200807 | 200902 | 0 | |
| 125375871 | 12537587 | 10 | 200902 | 0 | ||
| 125375871 | 12537587 | 13 | 201408 | 201501 | 0 |