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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126813041 | 12681304 | 1 | I | 20160812 | 20160824 | 20160824 | EXP | CA-HQ SPECIALTY-CA-2016INT000845 | INTERCHEM | 0.00 | Y | 0.00000 | 20160824 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126813041 | 12681304 | 1 | PS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 22.5 MG | Y | 201749 | 22.5 | MG | |||||||
| 126813041 | 12681304 | 2 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 15 MG | Y | 201749 | 15 | MG | |||||||
| 126813041 | 12681304 | 3 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 12.5 MG | Y | 201749 | 12.5 | MG | |||||||
| 126813041 | 12681304 | 4 | SS | METHOTREXATE SODIUM. | METHOTREXATE SODIUM | 1 | Oral | 20 MG | Y | 201749 | 20 | MG | |||||||
| 126813041 | 12681304 | 5 | SS | ETANERCEPT | ETANERCEPT | 1 | Subcutaneous | 7.1429 MG (50 MG,1 IN 1 W) | Y | 1031294 | 0 | 50 | MG | ||||||
| 126813041 | 12681304 | 6 | C | NORVASC | AMLODIPINE BESYLATE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 7 | C | RAMIPRIL. | RAMIPRIL | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 8 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126813041 | 12681304 | 9 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 10 | C | FOLIC ACID. | FOLIC ACID | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 11 | C | WILD SALMON AND FISH OILS OMEGA 3 COMPLEX | 2 | Unknown | UNK | U | 0 | ||||||||||
| 126813041 | 12681304 | 12 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 13 | C | AZATHIOPRINE. | AZATHIOPRINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126813041 | 12681304 | 14 | C | HEPARIN SODIUM. | HEPARIN SODIUM | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 15 | C | MIDAZOLAM HYDROCHLORIDE. | MIDAZOLAM HYDROCHLORIDE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 16 | C | FENTANYL. | FENTANYL | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 17 | C | AMIODARONE | AMIODARONE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 18 | C | METHOTRIMEPRAZINE /00038601/ | LEVOMEPROMAZINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126813041 | 12681304 | 19 | C | FLUMAZENIL. | FLUMAZENIL | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 20 | C | MUPIROCIN. | MUPIROCIN | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 21 | C | NIZORAL | KETOCONAZOLE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 22 | C | TINACTIN | TOLNAFTATE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 23 | C | NAPROXEN. | NAPROXEN | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 24 | C | TYLENOL ARTHRITIS PAIN | ACETAMINOPHEN | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 25 | C | KENALOG | TRIAMCINOLONE ACETONIDE | 1 | Unknown | UNK | Y | 0 | |||||||||
| 126813041 | 12681304 | 26 | C | KEFLEX | CEPHALEXIN | 1 | Unknown | UNK | Y | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126813041 | 12681304 | 1 | Product used for unknown indication |
| 126813041 | 12681304 | 5 | Product used for unknown indication |
| 126813041 | 12681304 | 6 | Product used for unknown indication |
| 126813041 | 12681304 | 7 | Product used for unknown indication |
| 126813041 | 12681304 | 8 | Product used for unknown indication |
| 126813041 | 12681304 | 9 | Product used for unknown indication |
| 126813041 | 12681304 | 10 | Product used for unknown indication |
| 126813041 | 12681304 | 11 | Product used for unknown indication |
| 126813041 | 12681304 | 12 | Product used for unknown indication |
| 126813041 | 12681304 | 13 | Product used for unknown indication |
| 126813041 | 12681304 | 14 | Product used for unknown indication |
| 126813041 | 12681304 | 15 | Product used for unknown indication |
| 126813041 | 12681304 | 16 | Product used for unknown indication |
| 126813041 | 12681304 | 17 | Product used for unknown indication |
| 126813041 | 12681304 | 18 | Product used for unknown indication |
| 126813041 | 12681304 | 19 | Product used for unknown indication |
| 126813041 | 12681304 | 20 | Product used for unknown indication |
| 126813041 | 12681304 | 21 | Product used for unknown indication |
| 126813041 | 12681304 | 22 | Product used for unknown indication |
| 126813041 | 12681304 | 23 | Product used for unknown indication |
| 126813041 | 12681304 | 24 | Product used for unknown indication |
| 126813041 | 12681304 | 25 | Product used for unknown indication |
| 126813041 | 12681304 | 26 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126813041 | 12681304 | OT |
| 126813041 | 12681304 | LT |
| 126813041 | 12681304 | DE |
| 126813041 | 12681304 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126813041 | 12681304 | Acute kidney injury | |
| 126813041 | 12681304 | Atrial fibrillation | |
| 126813041 | 12681304 | Coagulopathy | |
| 126813041 | 12681304 | Encephalopathy | |
| 126813041 | 12681304 | Hepatic enzyme increased | |
| 126813041 | 12681304 | Hypersensitivity vasculitis | |
| 126813041 | 12681304 | Hypotension | |
| 126813041 | 12681304 | Paraproteinaemia | |
| 126813041 | 12681304 | Pneumonia | |
| 126813041 | 12681304 | Respiratory failure | |
| 126813041 | 12681304 | Septic shock |
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 |
|---|---|---|---|---|---|---|
| 126813041 | 12681304 | 1 | 2009 | 20130223 | 0 | |
| 126813041 | 12681304 | 2 | 20130224 | 20130703 | 0 | |
| 126813041 | 12681304 | 3 | 20130815 | 20130821 | 0 | |
| 126813041 | 12681304 | 4 | 20130822 | 20130826 | 0 | |
| 126813041 | 12681304 | 5 | 20130606 | 0 | ||
| 126813041 | 12681304 | 6 | 2005 | 20130703 | 0 | |
| 126813041 | 12681304 | 7 | 2005 | 20130703 | 0 | |
| 126813041 | 12681304 | 8 | 2005 | 0 | ||
| 126813041 | 12681304 | 9 | 2005 | 20130715 | 0 | |
| 126813041 | 12681304 | 10 | 2009 | 20130715 | 0 | |
| 126813041 | 12681304 | 12 | 2009 | 20130715 | 0 | |
| 126813041 | 12681304 | 13 | 20130826 | 0 | ||
| 126813041 | 12681304 | 14 | 20130830 | 20130914 | 0 | |
| 126813041 | 12681304 | 15 | 20130905 | 20130905 | 0 | |
| 126813041 | 12681304 | 16 | 20130905 | 20130905 | 0 | |
| 126813041 | 12681304 | 17 | 20130905 | 20130905 | 0 | |
| 126813041 | 12681304 | 18 | 20130830 | 0 | ||
| 126813041 | 12681304 | 19 | 20130905 | 20130905 | 0 | |
| 126813041 | 12681304 | 20 | 20130826 | 20130914 | 0 | |
| 126813041 | 12681304 | 21 | 20111215 | 20120202 | 0 | |
| 126813041 | 12681304 | 22 | 20130203 | 20130303 | 0 | |
| 126813041 | 12681304 | 23 | 20111224 | 20120630 | 0 | |
| 126813041 | 12681304 | 24 | 20111218 | 20120630 | 0 | |
| 126813041 | 12681304 | 25 | 20120203 | 20120203 | 0 | |
| 126813041 | 12681304 | 26 | 20130529 | 20160605 | 0 |