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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126898291 | 12689829 | 1 | I | 20101214 | 20110214 | 20160826 | 20160826 | EXP | CA-UCBSA-027537 | UCB | 26.20 | YR | F | Y | 43.00000 | KG | 20160826 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126898291 | 12689829 | 1 | PS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 400 MG, EV 2 WEEKS(QOW) | Y | U | 125160 | 400 | MG | SOLUTION FOR INJECTION | QOW | ||||
| 126898291 | 12689829 | 2 | SS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | 400 MG, EV 2 WEEKS(QOW) | Y | U | 125160 | 400 | MG | SOLUTION FOR INJECTION | QOW | ||||
| 126898291 | 12689829 | 3 | C | METHOTREXATE. | METHOTREXATE | 1 | Oral | 7.5 MG, WEEKLY (QW) | 0 | 7.5 | MG | /wk | |||||||
| 126898291 | 12689829 | 4 | C | BISOPROLOL | BISOPROLOL | 1 | Oral | 2.5 MG, EV 2 DAYS (QOD) | 0 | 2.5 | MG | QOD | |||||||
| 126898291 | 12689829 | 5 | C | PANTOLOC | PANTOPRAZOLE SODIUM | 1 | Oral | 40 MG, ONCE DAILY (QD) | 0 | 40 | MG | QD | |||||||
| 126898291 | 12689829 | 6 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Oral | PRN HS | U | 0 | .5 | MG | |||||||
| 126898291 | 12689829 | 7 | C | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | Oral | 2 MG, AS NEEDED (PRN) | U | U | 0 | 2 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126898291 | 12689829 | 1 | Crohn's disease |
| 126898291 | 12689829 | 3 | Crohn's disease |
| 126898291 | 12689829 | 4 | Hypertension |
| 126898291 | 12689829 | 6 | Insomnia |
| 126898291 | 12689829 | 7 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126898291 | 12689829 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126898291 | 12689829 | Abscess | |
| 126898291 | 12689829 | Pharyngitis | |
| 126898291 | 12689829 | Pneumonia | |
| 126898291 | 12689829 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 126898291 | 12689829 | 1 | 200906 | 20101214 | 0 | |
| 126898291 | 12689829 | 2 | 20110208 | 0 | ||
| 126898291 | 12689829 | 3 | 200906 | 0 |