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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125375902 | 12537590 | 2 | F | 201604 | 20160720 | 20160707 | 20160803 | EXP | CA-HQ SPECIALTY-CA-2016INT000471 | INTERCHEM | 54.00 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125375902 | 12537590 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 2.8571 MG (20 MG,1 IN 1 W) | 201749 | ||||||||||
| 125375902 | 12537590 | 2 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | UNK | 0 | ||||||||||
| 125375902 | 12537590 | 3 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Unknown | UNK | 0 | ||||||||||
| 125375902 | 12537590 | 4 | SS | HUMIRA | ADALIMUMAB | 1 | Unknown | UNK | Y | 0 | |||||||||
| 125375902 | 12537590 | 5 | SS | ORENCIA | ABATACEPT | 1 | Unknown | UNK | Y | 0 | |||||||||
| 125375902 | 12537590 | 6 | SS | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 10 MG (5 MG, 2 IN 1 D) | 0 | 5 | MG | ||||||||
| 125375902 | 12537590 | 7 | C | HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE | 1 | UNK | U | 0 | ||||||||||
| 125375902 | 12537590 | 8 | C | TETANUS TOXOID ADSORBED | CLOSTRIDIUM TETANI TOXOID ANTIGEN (FORMALDEHYDE INACTIVATED) | 1 | UNK | U | 0 | ||||||||||
| 125375902 | 12537590 | 9 | C | HAEMOPHILUS INFLUENZA TYPE B VACCINE | HAEMOPHILUS INFLUENZAE TYPE B | 1 | UNK | U | 0 | ||||||||||
| 125375902 | 12537590 | 10 | C | PREVNAR | PNEUMOCOCCAL 7-VALENT CONJUGATE VACCINE (DIPHTHERIA CRM197 PROTEIN) | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125375902 | 12537590 | 1 | Rheumatoid arthritis |
| 125375902 | 12537590 | 2 | Rheumatoid arthritis |
| 125375902 | 12537590 | 3 | Rheumatoid arthritis |
| 125375902 | 12537590 | 4 | Rheumatoid arthritis |
| 125375902 | 12537590 | 5 | Product used for unknown indication |
| 125375902 | 12537590 | 6 | Rheumatoid arthritis |
| 125375902 | 12537590 | 7 | Product used for unknown indication |
| 125375902 | 12537590 | 8 | Product used for unknown indication |
| 125375902 | 12537590 | 9 | Product used for unknown indication |
| 125375902 | 12537590 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125375902 | 12537590 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125375902 | 12537590 | Drug ineffective | |
| 125375902 | 12537590 | Epicondylitis | |
| 125375902 | 12537590 | Malaise | |
| 125375902 | 12537590 | 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 |
|---|---|---|---|---|---|---|
| 125375902 | 12537590 | 2 | 201406 | 0 | ||
| 125375902 | 12537590 | 4 | 20050101 | 20080101 | 0 | |
| 125375902 | 12537590 | 5 | 2010 | 2014 | 0 | |
| 125375902 | 12537590 | 6 | 20160627 | 0 | ||
| 125375902 | 12537590 | 8 | 20160524 | 0 | ||
| 125375902 | 12537590 | 9 | 20160524 | 0 | ||
| 125375902 | 12537590 | 10 | 20160524 | 0 |