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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125952902 | 12595290 | 2 | F | 2012 | 20160720 | 20160726 | 20160729 | EXP | CA-AMGEN-CANSP2016095067 | AMGEN | 65.00 | YR | E | M | Y | 0.00000 | 20160729 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125952902 | 12595290 | 1 | PS | NEUPOGEN | FILGRASTIM | 1 | Unknown | UNK | U | 103353 | UNKNOWN FORMULATION | ||||||||
| 125952902 | 12595290 | 2 | SS | RITUXAN | RITUXIMAB | 1 | Unknown | UNK | 0 | ||||||||||
| 125952902 | 12595290 | 3 | SS | DIPHENHYDRAMINE HCL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 50 MG, UNK | 0 | 50 | MG | ||||||||
| 125952902 | 12595290 | 4 | SS | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 650 MG, UNK | 0 | 650 | MG | ||||||||
| 125952902 | 12595290 | 5 | SS | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 100 MG, UNK | 0 | 100 | MG | ||||||||
| 125952902 | 12595290 | 6 | C | METHOTREXATE. | METHOTREXATE | 1 | 15 MG, UNK | 0 | 15 | MG | |||||||||
| 125952902 | 12595290 | 7 | C | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125952902 | 12595290 | 1 | Product used for unknown indication |
| 125952902 | 12595290 | 2 | Vasculitis |
| 125952902 | 12595290 | 3 | Premedication |
| 125952902 | 12595290 | 4 | Premedication |
| 125952902 | 12595290 | 5 | Premedication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125952902 | 12595290 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125952902 | 12595290 | Back pain | |
| 125952902 | 12595290 | Neutropenia | |
| 125952902 | 12595290 | Neutrophil count decreased | |
| 125952902 | 12595290 | Renal pain | |
| 125952902 | 12595290 | White blood cell count decreased |
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 |
|---|---|---|---|---|---|---|
| 125952902 | 12595290 | 2 | 20110411 | 0 | ||
| 125952902 | 12595290 | 3 | 20110411 | 0 | ||
| 125952902 | 12595290 | 4 | 20110411 | 0 | ||
| 125952902 | 12595290 | 5 | 20110411 | 0 |