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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126196661 | 12619666 | 1 | I | 20160601 | 20160721 | 20160803 | 20160803 | EXP | NL-LRB-221948 | NL-PFIZER INC-2016367604 | PFIZER | 76.00 | YR | F | Y | 70.00000 | KG | 20160803 | OT | NL | NL |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126196661 | 12619666 | 1 | PS | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Oral | 20 MG, QD | Y | 20987 | 20 | MG | TABLET | QD | |||||
126196661 | 12619666 | 2 | I | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 5 MG, 1/WEEK | U | 11719 | 5 | MG | TABLET | /wk | |||||
126196661 | 12619666 | 3 | C | FOLIUMZUUR | FOLIC ACID | 1 | Oral | 5 MG, 3/WEEK | 0 | 5 | MG | TABLET |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126196661 | 12619666 | 1 | Abdominal discomfort |
126196661 | 12619666 | 2 | Rheumatoid arthritis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126196661 | 12619666 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126196661 | 12619666 | Condition aggravated | |
126196661 | 12619666 | Drug interaction | |
126196661 | 12619666 | 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 |
---|---|---|---|---|---|---|
126196661 | 12619666 | 1 | 2011 | 20160601 | 0 | |
126196661 | 12619666 | 2 | 2009 | 0 | ||
126196661 | 12619666 | 3 | 2009 | 0 |