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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127694871 | 12769487 | 1 | I | 20160225 | 20160921 | 20160921 | EXP | CA-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-015683 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160921 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127694871 | 12769487 | 1 | PS | ORENCIA | ABATACEPT | 1 | Unknown | N | 125118 | ||||||||||
| 127694871 | 12769487 | 2 | SS | TYLENOL | ACETAMINOPHEN | 1 | Unknown | AS NEEDED | U | 0 | |||||||||
| 127694871 | 12769487 | 3 | SS | ENBREL | ETANERCEPT | 1 | Unknown | 50 MG, QWK(LOE) | N | 0 | 50 | MG | /wk | ||||||
| 127694871 | 12769487 | 4 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Oral | 2000 MG(INTOLERANCE) | N | 0 | 2000 | MG | |||||||
| 127694871 | 12769487 | 5 | SS | ACTEMRA | TOCILIZUMAB | 1 | Unknown | U | 0 | ||||||||||
| 127694871 | 12769487 | 6 | SS | ARAVA | LEFLUNOMIDE | 1 | Unknown | 20 MG, QD | U | 0 | 20 | MG | TABLET | QD | |||||
| 127694871 | 12769487 | 7 | SS | CIMZIA | CERTOLIZUMAB PEGOL | 1 | Subcutaneous | U | 0 | ||||||||||
| 127694871 | 12769487 | 8 | SS | SIMPONI | GOLIMUMAB | 1 | Subcutaneous | U | 0 | ||||||||||
| 127694871 | 12769487 | 9 | SS | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | U | 0 | ||||||||||
| 127694871 | 12769487 | 10 | SS | PLAQUENIL /00072602/ | HYDROXYCHLOROQUINE DIPHOSPHATE | 1 | Unknown | 200 MG, BID | U | 0 | 200 | MG | TABLET | BID | |||||
| 127694871 | 12769487 | 11 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
| 127694871 | 12769487 | 12 | SS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
| 127694871 | 12769487 | 13 | C | METHOTREXATE. | METHOTREXATE | 1 | Unknown | 25 MG/ML, QWK | U | 0 | 25 | DF | /wk | ||||||
| 127694871 | 12769487 | 14 | C | MELOXICAM. | MELOXICAM | 1 | Unknown | U | 0 | ||||||||||
| 127694871 | 12769487 | 15 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 127694871 | 12769487 | 16 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127694871 | 12769487 | 1 | Rheumatoid arthritis |
| 127694871 | 12769487 | 2 | Product used for unknown indication |
| 127694871 | 12769487 | 3 | Rheumatoid arthritis |
| 127694871 | 12769487 | 4 | Product used for unknown indication |
| 127694871 | 12769487 | 5 | Rheumatoid arthritis |
| 127694871 | 12769487 | 6 | Rheumatoid arthritis |
| 127694871 | 12769487 | 7 | Product used for unknown indication |
| 127694871 | 12769487 | 8 | Product used for unknown indication |
| 127694871 | 12769487 | 9 | Rheumatoid arthritis |
| 127694871 | 12769487 | 10 | Rheumatoid arthritis |
| 127694871 | 12769487 | 11 | Rheumatoid arthritis |
| 127694871 | 12769487 | 12 | Rheumatoid arthritis |
| 127694871 | 12769487 | 13 | Rheumatoid arthritis |
| 127694871 | 12769487 | 14 | Product used for unknown indication |
| 127694871 | 12769487 | 15 | Product used for unknown indication |
| 127694871 | 12769487 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127694871 | 12769487 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127694871 | 12769487 | Activities of daily living impaired | |
| 127694871 | 12769487 | Condition aggravated | |
| 127694871 | 12769487 | Drug ineffective | |
| 127694871 | 12769487 | Drug intolerance | |
| 127694871 | 12769487 | Fatigue | |
| 127694871 | 12769487 | Gait disturbance | |
| 127694871 | 12769487 | Somnolence | |
| 127694871 | 12769487 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 127694871 | 12769487 | 3 | 200310 | 200706 | 0 | |
| 127694871 | 12769487 | 4 | 200707 | 200712 | 0 | |
| 127694871 | 12769487 | 13 | 2001 | 0 |