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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125590111 | 12559011 | 1 | I | 2015 | 20150922 | 20160715 | 20160715 | EXP | CA-AMGEN-CANSP2015099868 | AMGEN | 64.00 | YR | A | F | Y | 0.00000 | 20160715 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125590111 | 12559011 | 1 | PS | ENBREL | ETANERCEPT | 1 | Unknown | UNK | 103795 | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | |||||||||
| 125590111 | 12559011 | 2 | SS | METHOTREXATE. | METHOTREXATE | 1 | Unknown | UNK | 0 | ||||||||||
| 125590111 | 12559011 | 3 | SS | ACTEMRA | TOCILIZUMAB | 1 | Unknown | UNK | 0 | ||||||||||
| 125590111 | 12559011 | 4 | SS | ORENCIA | ABATACEPT | 1 | Intravenous (not otherwise specified) | UNK | 0 | ||||||||||
| 125590111 | 12559011 | 5 | C | CELEBREX | CELECOXIB | 1 | 200 MG, BID | 0 | 200 | MG | CAPSULE | BID | |||||||
| 125590111 | 12559011 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 125590111 | 12559011 | 7 | C | PANTOLOC | PANTOPRAZOLE SODIUM | 1 | UNK | 0 | |||||||||||
| 125590111 | 12559011 | 8 | C | DESYREL | TRAZODONE HYDROCHLORIDE | 1 | UNK | 0 | TABLET | ||||||||||
| 125590111 | 12559011 | 9 | C | ASPIRINE | ASPIRIN | 1 | 80 MG, QD | 0 | 80 | MG | QD | ||||||||
| 125590111 | 12559011 | 10 | C | ROSUVASTATINE | ROSUVASTATIN | 1 | UNK | 0 | TABLET | ||||||||||
| 125590111 | 12559011 | 11 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | UNK | 0 | |||||||||||
| 125590111 | 12559011 | 12 | C | MONOCOR | BISOPROLOL FUMARATE | 1 | 2.5 MG, QD | 0 | 2.5 | MG | QD | ||||||||
| 125590111 | 12559011 | 13 | C | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | 0 | ||||||||||||
| 125590111 | 12559011 | 14 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125590111 | 12559011 | 1 | Rheumatoid arthritis |
| 125590111 | 12559011 | 2 | Product used for unknown indication |
| 125590111 | 12559011 | 3 | Rheumatoid arthritis |
| 125590111 | 12559011 | 4 | Rheumatoid arthritis |
| 125590111 | 12559011 | 5 | Rheumatoid arthritis |
| 125590111 | 12559011 | 13 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125590111 | 12559011 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125590111 | 12559011 | Drug ineffective | |
| 125590111 | 12559011 | Hepatic enzyme increased | |
| 125590111 | 12559011 | Malignant melanoma | |
| 125590111 | 12559011 | Red blood cell sedimentation rate abnormal | |
| 125590111 | 12559011 | 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 |
|---|---|---|---|---|---|---|
| 125590111 | 12559011 | 2 | 20150811 | 0 |