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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125662771 | 12566277 | 1 | I | 20160705 | 20160718 | 20160718 | EXP | CA-HQ SPECIALTY-CA-2016INT000542 | INTERCHEM | 81.00 | YR | F | Y | 0.00000 | 20160718 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125662771 | 12566277 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | 3.5714 MG (25 MG,1 IN 1 W) | 201749 | 25 | MG | |||||||||
| 125662771 | 12566277 | 2 | SS | CELEBREX | CELECOXIB | 1 | UNK | U | 0 | ||||||||||
| 125662771 | 12566277 | 3 | SS | HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE | 1 | UNK | U | 0 | ||||||||||
| 125662771 | 12566277 | 4 | SS | FOLIC ACID. | FOLIC ACID | 1 | UNK | U | 0 | ||||||||||
| 125662771 | 12566277 | 5 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | 20 MG, UNK | N | 0 | 20 | MG | ||||||||
| 125662771 | 12566277 | 6 | SS | PLAQUENIL /00072602/ | HYDROXYCHLOROQUINE DIPHOSPHATE | 1 | 400 MG,1 D | 0 | 400 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125662771 | 12566277 | 1 | Rheumatoid arthritis |
| 125662771 | 12566277 | 2 | Rheumatoid arthritis |
| 125662771 | 12566277 | 3 | Rheumatoid arthritis |
| 125662771 | 12566277 | 4 | Rheumatoid arthritis |
| 125662771 | 12566277 | 5 | Rheumatoid arthritis |
| 125662771 | 12566277 | 6 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125662771 | 12566277 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125662771 | 12566277 | Activities of daily living impaired | |
| 125662771 | 12566277 | Drug ineffective | |
| 125662771 | 12566277 | Insomnia | |
| 125662771 | 12566277 | 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 |
|---|---|---|---|---|---|---|
| 125662771 | 12566277 | 1 | 200904 | 0 | ||
| 125662771 | 12566277 | 5 | 200907 | 2013 | 0 | |
| 125662771 | 12566277 | 6 | 201310 | 0 |