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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127123801 | 12712380 | 1 | I | 2015 | 20160226 | 20160902 | 20160902 | EXP | CA-PFIZER INC-2016130276 | PFIZER | 38.00 | YR | F | Y | 0.00000 | 20160902 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127123801 | 12712380 | 1 | SS | ENBREL | ETANERCEPT | 1 | Subcutaneous | 50 MG, WEEKLY | N | 0 | 50 | MG | /wk | ||||||
| 127123801 | 12712380 | 2 | PS | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 150 MG, 1X/DAY | N | 20699 | 150 | MG | PROLONGED-RELEASE CAPSULE | QD | |||||
| 127123801 | 12712380 | 3 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | UNK | U | 0 | TABLET | |||||||||
| 127123801 | 12712380 | 4 | SS | PLAQUENIL | HYDROXYCHLOROQUINE SULFATE | 1 | 300 MG, 1X/DAY | 0 | 300 | MG | TABLET | QD | |||||||
| 127123801 | 12712380 | 5 | C | REACTINE | CETIRIZINE HYDROCHLORIDE | 1 | 10 MG, 1X/DAY | 0 | 10 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127123801 | 12712380 | 3 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127123801 | 12712380 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127123801 | 12712380 | Anaphylactic shock | |
| 127123801 | 12712380 | Arthritis | |
| 127123801 | 12712380 | Drug effect incomplete | |
| 127123801 | 12712380 | Drug hypersensitivity | |
| 127123801 | 12712380 | Drug ineffective | |
| 127123801 | 12712380 | Drug intolerance | |
| 127123801 | 12712380 | Insomnia | |
| 127123801 | 12712380 | Pain | |
| 127123801 | 12712380 | Rash |
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 |
|---|---|---|---|---|---|---|
| 127123801 | 12712380 | 1 | 201602 | 0 |