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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861531 | 12686153 | 1 | I | 20160807 | 20160815 | 20160825 | 20160825 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-53610BP | BOEHRINGER INGELHEIM | 80.80 | YR | F | Y | 0.00000 | 20160825 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126861531 | 12686153 | 1 | PS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 150 MG | 560605 | 21698 | 150 | MG | TABLET | QD | |||||
| 126861531 | 12686153 | 2 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Oral | 25 MCG | 0 | 25 | UG | TABLET | QD | ||||||
| 126861531 | 12686153 | 3 | C | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | 2.6667 MG | 0 | 40 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126861531 | 12686153 | 1 | Gastrooesophageal reflux disease |
| 126861531 | 12686153 | 2 | Hypothyroidism |
| 126861531 | 12686153 | 3 | Rheumatoid arthritis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126861531 | 12686153 | Nausea | |
| 126861531 | 12686153 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126861531 | 12686153 | 1 | 20160807 | 0 | ||
| 126861531 | 12686153 | 2 | 2011 | 0 | ||
| 126861531 | 12686153 | 3 | 2011 | 0 |