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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126476861 | 12647686 | 1 | I | 20160706 | 0 | 20160811 | 20160811 | DIR | 51.00 | YR | F | N | 0.00000 | 20160809 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126476861 | 12647686 | 1 | PS | ENBREL | ETANERCEPT | 1 | Subcutaneous | D | D | 1065295 | 20181130 | 0 | 50 | MG | QW | ||||
| 126476861 | 12647686 | 2 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Y | D | 0 | ||||||||||
| 126476861 | 12647686 | 4 | C | NITROFURANTIN | NITROFURANTOIN | 1 | 0 | ||||||||||||
| 126476861 | 12647686 | 6 | C | AMOX/KCLAV | 2 | 0 | |||||||||||||
| 126476861 | 12647686 | 8 | C | DICLOFENAC | DICLOFENAC | 1 | 0 | ||||||||||||
| 126476861 | 12647686 | 10 | C | CEPHALEXIN. | CEPHALEXIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126476861 | 12647686 | 1 | Psoriasis |
| 126476861 | 12647686 | 2 | Nausea |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126476861 | 12647686 | Erythema | |
| 126476861 | 12647686 | Headache | |
| 126476861 | 12647686 | Rash | |
| 126476861 | 12647686 | Refusal of treatment by patient |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126476861 | 12647686 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126476861 | 12647686 | 1 | 20140626 | 0 | ||
| 126476861 | 12647686 | 2 | 20160706 | 0 |