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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126268892 | 12626889 | 2 | F | 20160812 | 20160805 | 20160824 | EXP | E2B_00566566 | CA-HQ SPECIALTY-CA-2016INT000706 | INTERCHEM | 53.00 | YR | F | Y | 0.00000 | 20160824 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126268892 | 12626889 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | UNK | Y | 201749 | |||||||||
| 126268892 | 12626889 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | UNK | Y | 201749 | |||||||||
| 126268892 | 12626889 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | UNK | Y | 201749 | |||||||||
| 126268892 | 12626889 | 4 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | UNK | Y | 201749 | |||||||||
| 126268892 | 12626889 | 5 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 6 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 7 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 8 | SS | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 9 | SS | ORENCIA | ABATACEPT | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 10 | SS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 11 | SS | SIMPONI | GOLIMUMAB | 1 | Subcutaneous | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 12 | SS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 13 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 14 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | UNK | Y | 0 | |||||||||
| 126268892 | 12626889 | 15 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126268892 | 12626889 | 16 | C | ADVIL | IBUPROFEN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126268892 | 12626889 | 17 | C | TYLENOL | ACETAMINOPHEN | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126268892 | 12626889 | 1 | Rheumatoid arthritis |
| 126268892 | 12626889 | 3 | Rheumatoid arthritis |
| 126268892 | 12626889 | 5 | Rheumatoid arthritis |
| 126268892 | 12626889 | 6 | Rheumatoid arthritis |
| 126268892 | 12626889 | 7 | Rheumatoid arthritis |
| 126268892 | 12626889 | 8 | Rheumatoid arthritis |
| 126268892 | 12626889 | 9 | Rheumatoid arthritis |
| 126268892 | 12626889 | 10 | Rheumatoid arthritis |
| 126268892 | 12626889 | 11 | Rheumatoid arthritis |
| 126268892 | 12626889 | 12 | Rheumatoid arthritis |
| 126268892 | 12626889 | 13 | Rheumatoid arthritis |
| 126268892 | 12626889 | 14 | Rheumatoid arthritis |
| 126268892 | 12626889 | 15 | Product used for unknown indication |
| 126268892 | 12626889 | 16 | Product used for unknown indication |
| 126268892 | 12626889 | 17 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126268892 | 12626889 | Drug intolerance | |
| 126268892 | 12626889 | Fatigue | |
| 126268892 | 12626889 | Irritable bowel syndrome | |
| 126268892 | 12626889 | Malaise | |
| 126268892 | 12626889 | Nausea | |
| 126268892 | 12626889 | Stress |
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 |
|---|---|---|---|---|---|---|
| 126268892 | 12626889 | 1 | 200705 | 200708 | 0 | |
| 126268892 | 12626889 | 2 | 201001 | 0 | ||
| 126268892 | 12626889 | 3 | 200705 | 200708 | 0 | |
| 126268892 | 12626889 | 4 | 201001 | 0 | ||
| 126268892 | 12626889 | 5 | 200710 | 200804 | 0 | |
| 126268892 | 12626889 | 6 | 201308 | 201312 | 0 | |
| 126268892 | 12626889 | 7 | 200701 | 0 | ||
| 126268892 | 12626889 | 8 | 200806 | 200810 | 0 | |
| 126268892 | 12626889 | 9 | 200812 | 200905 | 0 | |
| 126268892 | 12626889 | 10 | 201105 | 201108 | 0 | |
| 126268892 | 12626889 | 11 | 201006 | 201010 | 0 | |
| 126268892 | 12626889 | 12 | 200909 | 200911 | 0 |