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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120527934 | 12052793 | 4 | F | 20160202 | 20160829 | 20160209 | 20160912 | EXP | US-ACORDA-ACO_121328_2016 | ACORDA | 64.42 | YR | M | Y | 86.17000 | KG | 20160912 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120527934 | 12052793 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | 31880 | MG | Y | 22250 | 10 | MG | TABLET | BID | |||
| 120527934 | 12052793 | 2 | SS | PLEGRIDY | PEGINTERFERON BETA-1A | 1 | Unknown | UNK | 0 | ||||||||||
| 120527934 | 12052793 | 3 | C | METAMUCIL | PLANTAGO SEED | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 4 | C | TYLENOL | ACETAMINOPHEN | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 5 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 6 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 7 | C | LEVETIRACETAM. | LEVETIRACETAM | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 8 | C | NUVIGIL | ARMODAFINIL | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 9 | C | Atorvastatin | ATORVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 10 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 11 | C | Dipyridamol | 2 | Unknown | U | 0 | |||||||||||
| 120527934 | 12052793 | 12 | C | DIAZEPAM. | DIAZEPAM | 1 | Unknown | U | 0 | NASAL SPRAY | |||||||||
| 120527934 | 12052793 | 13 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 120527934 | 12052793 | 14 | C | Fluarix quadrivalent | 2 | Unknown | UNK | U | 0 | ||||||||||
| 120527934 | 12052793 | 15 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120527934 | 12052793 | 1 | Multiple sclerosis |
| 120527934 | 12052793 | 2 | Product used for unknown indication |
| 120527934 | 12052793 | 3 | Product used for unknown indication |
| 120527934 | 12052793 | 4 | Product used for unknown indication |
| 120527934 | 12052793 | 5 | Product used for unknown indication |
| 120527934 | 12052793 | 6 | Product used for unknown indication |
| 120527934 | 12052793 | 7 | Product used for unknown indication |
| 120527934 | 12052793 | 8 | Product used for unknown indication |
| 120527934 | 12052793 | 9 | Product used for unknown indication |
| 120527934 | 12052793 | 10 | Product used for unknown indication |
| 120527934 | 12052793 | 11 | Product used for unknown indication |
| 120527934 | 12052793 | 12 | Product used for unknown indication |
| 120527934 | 12052793 | 13 | Product used for unknown indication |
| 120527934 | 12052793 | 14 | Product used for unknown indication |
| 120527934 | 12052793 | 15 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120527934 | 12052793 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120527934 | 12052793 | Hypersensitivity | |
| 120527934 | 12052793 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 120527934 | 12052793 | 1 | 20110923 | 20160203 | 0 | |
| 120527934 | 12052793 | 14 | 2015 | 2015 | 0 |