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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125696051 | 12569605 | 1 | I | 20160704 | 20160714 | 20160719 | 20160719 | EXP | GB-JNJFOC-20160712323 | JANSSEN | 5.00 | YR | C | F | Y | 20.00000 | KG | 20160719 | OT | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125696051 | 12569605 | 1 | PS | INFLIXIMAB, RECOMBINANT | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | Y | N | 103772 | 120 | DF | LYOPHILIZED POWDER | ||||||
| 125696051 | 12569605 | 2 | C | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 125696051 | 12569605 | 3 | C | CHLORPHENAMINE | CHLORPHENIRAMINE MALEATE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 125696051 | 12569605 | 4 | C | METHOTREXATE. | METHOTREXATE | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125696051 | 12569605 | 1 | Juvenile idiopathic arthritis |
| 125696051 | 12569605 | 2 | Premedication |
| 125696051 | 12569605 | 3 | Premedication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125696051 | 12569605 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125696051 | 12569605 | Anaphylactic reaction | |
| 125696051 | 12569605 | Chest pain | |
| 125696051 | 12569605 | Infusion related reaction |
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 |
|---|---|---|---|---|---|---|
| 125696051 | 12569605 | 1 | 20160704 | 20160704 | 0 |