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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127010221 | 12701022 | 1 | I | 20150428 | 20160822 | 20160831 | 20160831 | EXP | US-AMGEN-USASL2016110510 | AMGEN | 60.00 | YR | A | F | Y | 0.00000 | 20160830 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127010221 | 12701022 | 1 | PS | ENBREL | ETANERCEPT | 1 | Unknown | UNK UNK, Q3WK | U | 1065295 | 103795 | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | Q3W | ||||||
| 127010221 | 12701022 | 2 | SS | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | Unknown | UNK | 0 | ||||||||||
| 127010221 | 12701022 | 3 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 2000 IU, UNK | 0 | 2000 | IU | ||||||||
| 127010221 | 12701022 | 4 | C | CALCIUM | CALCIUM | 1 | 1200 MG, UNK | 0 | 1200 | MG | |||||||||
| 127010221 | 12701022 | 5 | C | VALACICLOVIR | VALACYCLOVIR HYDROCHLORIDE | 1 | Oral | 1 MG, TID | 0 | 1 | MG | TID | |||||||
| 127010221 | 12701022 | 6 | C | PREDNISONE. | PREDNISONE | 1 | 6 DAY TAPER | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127010221 | 12701022 | 1 | Rheumatoid arthritis |
| 127010221 | 12701022 | 2 | Sinusitis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127010221 | 12701022 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127010221 | 12701022 | Facial paralysis | |
| 127010221 | 12701022 | Head discomfort | |
| 127010221 | 12701022 | Intentional product misuse | |
| 127010221 | 12701022 | Pain | |
| 127010221 | 12701022 | Rash erythematous | |
| 127010221 | 12701022 | Sinusitis |
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 |
|---|---|---|---|---|---|---|
| 127010221 | 12701022 | 1 | 20150428 | 0 |