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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127391391 | 12739139 | 1 | I | 20160816 | 20160831 | 20160912 | 20160912 | EXP | TS20160662 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL002600 | VALIDUS | 79.00 | YR | F | Y | 0.00000 | 20160912 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127391391 | 12739139 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 20 MG, QD | Y | 16273 | 20 | MG | |||||||
| 127391391 | 12739139 | 2 | SS | IMETH | METHOTREXATE SODIUM | 1 | Oral | 10 MG, WEEKLY | 0 | 10 | MG | ||||||||
| 127391391 | 12739139 | 3 | SS | IMETH | METHOTREXATE SODIUM | 1 | Oral | 15 MG, WEEKLY | 0 | 15 | MG | ||||||||
| 127391391 | 12739139 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | UNK | U | 0 | ||||||||||
| 127391391 | 12739139 | 5 | C | FUNGIZONE | AMPHOTERICIN B | 1 | UNK | U | 0 | ||||||||||
| 127391391 | 12739139 | 6 | C | ECONAZOLE | ECONAZOLE | 1 | UNK | U | 0 | ||||||||||
| 127391391 | 12739139 | 7 | C | CORTANCYL | PREDNISONE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127391391 | 12739139 | 1 | Product used for unknown indication |
| 127391391 | 12739139 | 2 | Rheumatoid arthritis |
| 127391391 | 12739139 | 4 | Product used for unknown indication |
| 127391391 | 12739139 | 5 | Product used for unknown indication |
| 127391391 | 12739139 | 6 | Product used for unknown indication |
| 127391391 | 12739139 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127391391 | 12739139 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127391391 | 12739139 | Diarrhoea | |
| 127391391 | 12739139 | Mucosal inflammation | |
| 127391391 | 12739139 | Pancytopenia | |
| 127391391 | 12739139 | Pyrexia |
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 |
|---|---|---|---|---|---|---|
| 127391391 | 12739139 | 1 | 20160816 | 0 | ||
| 127391391 | 12739139 | 2 | 201604 | 20160721 | 0 | |
| 127391391 | 12739139 | 3 | 20160721 | 20160815 | 0 |