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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127697411 | 12769741 | 1 | I | 20160920 | 20160922 | 20160922 | EXP | CA-ROCHE-1833370 | ROCHE | 0.00 | M | Y | 0.00000 | 20160922 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127697411 | 12769741 | 1 | PS | RITUXAN | RITUXIMAB | 1 | Intravenous (not otherwise specified) | U | 103705 | SOLUTION FOR INFUSION | |||||||||
127697411 | 12769741 | 2 | SS | ENBREL | ETANERCEPT | 1 | Unknown | U | 0 | ||||||||||
127697411 | 12769741 | 3 | SS | HUMIRA | ADALIMUMAB | 1 | Subcutaneous | U | 0 | ||||||||||
127697411 | 12769741 | 4 | SS | HYDROXYCHLOROQUINE | HYDROXYCHLOROQUINE | 1 | Unknown | U | 0 | ||||||||||
127697411 | 12769741 | 5 | SS | LEFLUNOMIDE. | LEFLUNOMIDE | 1 | Unknown | U | 0 | TABLET | |||||||||
127697411 | 12769741 | 6 | SS | METHOTREXATE. | METHOTREXATE | 1 | Unknown | U | 0 | ||||||||||
127697411 | 12769741 | 7 | SS | ORENCIA | ABATACEPT | 1 | Unknown | U | 0 | ||||||||||
127697411 | 12769741 | 8 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
127697411 | 12769741 | 9 | SS | SULFASALAZINE. | SULFASALAZINE | 1 | Unknown | U | 0 | ||||||||||
127697411 | 12769741 | 10 | SS | ZOSTAVAX | VARICELLA-ZOSTER VIRUS STRAIN OKA/MERCK LIVE ANTIGEN | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
127697411 | 12769741 | 11 | C | CORTISONE | CORTISONEHYDROCORTISONE | 1 | Oral | 0 | ORAL DROPS | ||||||||||
127697411 | 12769741 | 12 | C | DICLOFENAC | DICLOFENAC | 1 | Unknown | 0 | 100 | MG | |||||||||
127697411 | 12769741 | 13 | C | XELJANZ | TOFACITINIB CITRATE | 1 | Oral | 0 | 5 | MG | BID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127697411 | 12769741 | 1 | Product used for unknown indication |
127697411 | 12769741 | 2 | Product used for unknown indication |
127697411 | 12769741 | 3 | Product used for unknown indication |
127697411 | 12769741 | 4 | Product used for unknown indication |
127697411 | 12769741 | 5 | Product used for unknown indication |
127697411 | 12769741 | 6 | Product used for unknown indication |
127697411 | 12769741 | 7 | Product used for unknown indication |
127697411 | 12769741 | 8 | Product used for unknown indication |
127697411 | 12769741 | 9 | Product used for unknown indication |
127697411 | 12769741 | 10 | Product used for unknown indication |
127697411 | 12769741 | 11 | Product used for unknown indication |
127697411 | 12769741 | 12 | Product used for unknown indication |
127697411 | 12769741 | 13 | Rheumatoid arthritis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127697411 | 12769741 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127697411 | 12769741 | Alopecia | |
127697411 | 12769741 | Drug ineffective | |
127697411 | 12769741 | Drug intolerance | |
127697411 | 12769741 | Lymphoma | |
127697411 | 12769741 | Neoplasm malignant | |
127697411 | 12769741 | Onychoclasis | |
127697411 | 12769741 | Tooth loss |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |