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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119398893 | 11939889 | 3 | F | 201512 | 20160803 | 20160122 | 20160815 | PER | US-TEVA-627847USA | TEVA | 44.30 | YR | M | Y | 0.00000 | 20160815 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119398893 | 11939889 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | V01761 | 20622 | 40 | MG | INJECTION | TIW | ||||||
| 119398893 | 11939889 | 2 | C | CEREFOLIN | CYANOCOBALAMIN CO-57LEVOMEFOLATE CALCIUMPYRIDOXINE HYDROCHLORIDERIBOFLAVIN | 1 | Unknown | 0 | |||||||||||
| 119398893 | 11939889 | 3 | C | FLOVENT | FLUTICASONE PROPIONATE | 1 | Unknown | 0 | |||||||||||
| 119398893 | 11939889 | 4 | C | LEVOFLOXACIN. | LEVOFLOXACIN | 1 | Unknown | 0 | |||||||||||
| 119398893 | 11939889 | 5 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 119398893 | 11939889 | 6 | C | DULOXETINE. | DULOXETINE | 1 | Unknown | 0 | |||||||||||
| 119398893 | 11939889 | 7 | C | Nortriptyline | NORTRIPTYLINE | 1 | 0 | ||||||||||||
| 119398893 | 11939889 | 8 | C | OXCARBAZEPINE. | OXCARBAZEPINE | 1 | 0 | ||||||||||||
| 119398893 | 11939889 | 9 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119398893 | 11939889 | 1 | Multiple sclerosis |
| 119398893 | 11939889 | 2 | Product used for unknown indication |
| 119398893 | 11939889 | 3 | Product used for unknown indication |
| 119398893 | 11939889 | 4 | Product used for unknown indication |
| 119398893 | 11939889 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119398893 | 11939889 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119398893 | 11939889 | Abdominal pain | |
| 119398893 | 11939889 | Drug dose omission | |
| 119398893 | 11939889 | Multiple sclerosis relapse | |
| 119398893 | 11939889 | Non-cardiac chest pain | |
| 119398893 | 11939889 | Pain in extremity |
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 |
|---|---|---|---|---|---|---|
| 119398893 | 11939889 | 1 | 201504 | 0 |