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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126812331 | 12681233 | 1 | I | 20160812 | 20160824 | 20160824 | EXP | CA-HQ SPECIALTY-CA-2016INT000848 | INTERCHEM | 53.00 | YR | F | Y | 0.00000 | 20160824 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126812331 | 12681233 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Unknown | 3.5714 MG (25 MG,1 IN 1 W) | 201749 | 25 | MG | ||||||||
| 126812331 | 12681233 | 2 | SS | CELEBREX | CELECOXIB | 1 | Oral | UNK | 0 | ||||||||||
| 126812331 | 12681233 | 3 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | 1000 MG,1 D | 0 | 1000 | MG | ||||||||
| 126812331 | 12681233 | 4 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | Unknown | 400 MG,1 D | 0 | 400 | MG | ||||||||
| 126812331 | 12681233 | 5 | SS | PREDNISONE. | PREDNISONE | 1 | Unknown | UNK | 0 | ||||||||||
| 126812331 | 12681233 | 6 | SS | PREDNISONE. | PREDNISONE | 1 | Oral | 6 MG (6 MG,1 IN 1 D) | 0 | 6 | MG | ||||||||
| 126812331 | 12681233 | 7 | C | FOLIC ACID. | FOLIC ACID | 1 | Unknown | UNK | U | 0 | |||||||||
| 126812331 | 12681233 | 8 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | UNK | U | 0 | |||||||||
| 126812331 | 12681233 | 9 | C | CALCIUM | CALCIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 126812331 | 12681233 | 10 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126812331 | 12681233 | 11 | C | TYLENOL ARTHRITIS PAIN | ACETAMINOPHEN | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126812331 | 12681233 | 1 | Rheumatoid arthritis |
| 126812331 | 12681233 | 2 | Rheumatoid arthritis |
| 126812331 | 12681233 | 3 | Rheumatoid arthritis |
| 126812331 | 12681233 | 4 | Rheumatoid arthritis |
| 126812331 | 12681233 | 5 | Rheumatoid arthritis |
| 126812331 | 12681233 | 7 | Product used for unknown indication |
| 126812331 | 12681233 | 8 | Product used for unknown indication |
| 126812331 | 12681233 | 9 | Product used for unknown indication |
| 126812331 | 12681233 | 10 | Diabetes mellitus |
| 126812331 | 12681233 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126812331 | 12681233 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126812331 | 12681233 | Abasia | |
| 126812331 | 12681233 | Activities of daily living impaired | |
| 126812331 | 12681233 | Drug ineffective | |
| 126812331 | 12681233 | Drug intolerance | |
| 126812331 | 12681233 | 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 |
|---|---|---|---|---|---|---|
| 126812331 | 12681233 | 1 | 20150420 | 0 | ||
| 126812331 | 12681233 | 3 | 20150929 | 0 | ||
| 126812331 | 12681233 | 4 | 20150727 | 0 |