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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126301432 | 12630143 | 2 | F | 20160705 | 20160812 | 20160808 | 20160819 | EXP | US-JNJFOC-20160704216 | JANSSEN | 59.61 | YR | A | F | Y | 0.00000 | 20160819 | OT | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126301432 | 12630143 | 1 | PS | STELARA | USTEKINUMAB | 1 | Subcutaneous | N | FKS02MA | 125261 | 90 | MG | SOLUTION FOR INJECTION | ||||||
| 126301432 | 12630143 | 2 | C | AVONEX | INTERFERON BETA-1A | 1 | Unknown | 0 | 30 | MCI | UNSPECIFIED | ||||||||
| 126301432 | 12630143 | 3 | C | PLEGRIDY | PEGINTERFERON BETA-1A | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126301432 | 12630143 | 1 | Psoriatic arthropathy |
| 126301432 | 12630143 | 2 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126301432 | 12630143 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126301432 | 12630143 | Drug dose omission | |
| 126301432 | 12630143 | Hypokinesia | |
| 126301432 | 12630143 | Optic neuritis | |
| 126301432 | 12630143 | Psoriatic arthropathy | |
| 126301432 | 12630143 | Syringe issue |
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 |
|---|---|---|---|---|---|---|
| 126301432 | 12630143 | 1 | 20150810 | 0 |