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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 89315245 | 8931524 | 5 | F | 20120702 | 20160823 | 20121128 | 20160831 | EXP | US-ELI_LILLY_AND_COMPANY-US201211005222 | ELI LILLY AND CO | 82.75 | YR | M | Y | 0.00000 | 20160831 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 89315245 | 8931524 | 1 | PS | AXIRON | TESTOSTERONE | 1 | Unknown | 60 MG, QD | Y | 1444340 | 22504 | 60 | MG | ORAL LIQUID | QD | ||||
| 89315245 | 8931524 | 2 | SS | METHOTREXATE. | METHOTREXATE | 1 | Oral | 10 MG, WEEKLY (1/W) | U | 0 | 10 | MG | TABLET | /wk | |||||
| 89315245 | 8931524 | 3 | SS | METHOTREXATE. | METHOTREXATE | 1 | Oral | 15 MG, WEEKLY (1/W) | U | 0 | 15 | MG | TABLET | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 89315245 | 8931524 | 1 | Blood testosterone decreased |
| 89315245 | 8931524 | 2 | Rheumatoid arthritis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 89315245 | 8931524 | HO |
| 89315245 | 8931524 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 89315245 | 8931524 | Deep vein thrombosis | |
| 89315245 | 8931524 | Gait disturbance | |
| 89315245 | 8931524 | Pain | |
| 89315245 | 8931524 | Pulmonary embolism | |
| 89315245 | 8931524 | Purpura |
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 |
|---|---|---|---|---|---|---|
| 89315245 | 8931524 | 1 | 20120613 | 201206 | 0 | |
| 89315245 | 8931524 | 2 | 200802 | 0 | ||
| 89315245 | 8931524 | 3 | 20080312 | 0 |