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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125700071 | 12570007 | 1 | I | 20160119 | 0 | 20160718 | 20160718 | DIR | 53.00 | YR | M | N | 247.00000 | LBS | 20160716 | N | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125700071 | 12570007 | 1 | PS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 1 INJECTION 2WEEKS INJECTED UNDER THE SKIN | N | D | 20170101 | 0 | 1 | DF | SUSPENSION FOR INJECTION | ||||
| 125700071 | 12570007 | 3 | C | METAFORMIN | 2 | 0 | |||||||||||||
| 125700071 | 12570007 | 5 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 125700071 | 12570007 | 7 | C | DIAVAN HCT | 2 | 0 | |||||||||||||
| 125700071 | 12570007 | 9 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 125700071 | 12570007 | 11 | C | IBOPHROFEN | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125700071 | 12570007 | 1 | Ankylosing spondylitis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125700071 | 12570007 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125700071 | 12570007 | Bronchitis | |
| 125700071 | 12570007 | Impaired work ability | |
| 125700071 | 12570007 | Psoriasis | |
| 125700071 | 12570007 | Rash |
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 |
|---|---|---|---|---|---|---|
| 125700071 | 12570007 | 1 | 20151115 | 20160115 | 2 | WK |