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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125623084 | 12562308 | 4 | F | 20160804 | 20160715 | 20160819 | EXP | CA-HQ SPECIALTY-CA-2016INT000534 | INTERCHEM | 0.00 | M | Y | 0.00000 | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125623084 | 12562308 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | UNK | N | 201749 | |||||||||
| 125623084 | 12562308 | 2 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | UNK | N | 0 | |||||||||
| 125623084 | 12562308 | 3 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | UNK | N | 0 | |||||||||
| 125623084 | 12562308 | 4 | SS | PLAQUENIL /00072602/ | HYDROXYCHLOROQUINE DIPHOSPHATE | 1 | UNK | U | 0 | ||||||||||
| 125623084 | 12562308 | 5 | SS | ARAVA | LEFLUNOMIDE | 1 | Unknown | UNK | U | 0 | |||||||||
| 125623084 | 12562308 | 6 | SS | GOLD | GOLD | 1 | Unknown | UNK | U | 0 | |||||||||
| 125623084 | 12562308 | 7 | SS | RITUXAN | RITUXIMAB | 1 | Unknown | UNK | N | 0 | |||||||||
| 125623084 | 12562308 | 8 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 10 MG, 1 D | U | 0 | 10 | MG | |||||||
| 125623084 | 12562308 | 9 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | Unknown | 40 MG, 1 D | U | 0 | 40 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125623084 | 12562308 | 1 | Rheumatoid arthritis |
| 125623084 | 12562308 | 2 | Rheumatoid arthritis |
| 125623084 | 12562308 | 3 | Rheumatoid arthritis |
| 125623084 | 12562308 | 4 | Rheumatoid arthritis |
| 125623084 | 12562308 | 5 | Rheumatoid arthritis |
| 125623084 | 12562308 | 6 | Rheumatoid arthritis |
| 125623084 | 12562308 | 7 | Rheumatoid arthritis |
| 125623084 | 12562308 | 8 | Product used for unknown indication |
| 125623084 | 12562308 | 9 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125623084 | 12562308 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125623084 | 12562308 | Squamous cell carcinoma of skin | |
| 125623084 | 12562308 | Treatment failure |
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 |
|---|---|---|---|---|---|---|
| 125623084 | 12562308 | 7 | 201508 | 0 |