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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126035081 | 12603508 | 1 | I | 20150409 | 20150414 | 20160728 | 20160728 | EXP | IT-MINISAL02-302492 | IT-PFIZER INC-2835569 | PFIZER | 73.00 | YR | F | Y | 0.00000 | 20160728 | PH | IT | IT |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126035081 | 12603508 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Intramuscular | 12.5 MG, WEEKLY | Y | 11719 | 12.5 | MG | SOLUTION FOR INJECTION | /wk | |||||
126035081 | 12603508 | 2 | SS | MEDROL | METHYLPREDNISOLONE | 1 | Oral | 1 DF, 1X/DAY | 11153 | 1 | DF | TABLET | QD | ||||||
126035081 | 12603508 | 3 | C | FOLINA /00024201/ | FOLIC ACID | 1 | UNK | 0 | |||||||||||
126035081 | 12603508 | 4 | C | METOCAL | 2 | UNK | 0 | ||||||||||||
126035081 | 12603508 | 5 | C | OLPRESS | OLMESARTAN MEDOXOMIL | 1 | UNK | 0 | |||||||||||
126035081 | 12603508 | 6 | C | ZEFFIX | LAMIVUDINE | 1 | UNK | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126035081 | 12603508 | 1 | Rheumatoid arthritis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126035081 | 12603508 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126035081 | 12603508 | Immunosuppression | |
126035081 | 12603508 | Urinary tract infection |
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 |
---|---|---|---|---|---|---|
126035081 | 12603508 | 1 | 20070101 | 20150409 | 0 | |
126035081 | 12603508 | 2 | 20070101 | 0 |