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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
122569192 | 12256919 | 2 | F | 20160314 | 20160629 | 20160412 | 20160713 | EXP | US-ACORDA-ACO_122732_2016 | ACORDA | 45.49 | YR | M | Y | 84.40000 | KG | 20160713 | OT | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
122569192 | 12256919 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | 22620 | MG | Y | U | 0000078764 | 22250 | 10 | MG | TABLET | BID | |
122569192 | 12256919 | 2 | C | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | 40 MG/ML, 3X/WK | U | 0 | 40 | MG | TIW | ||||||
122569192 | 12256919 | 3 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | Oral | 5 MG, HS | U | 0 | 5 | MG | QD | ||||||
122569192 | 12256919 | 4 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 10 MG (2QAM, 2QHS) | U | 0 | 10 | MG | BID | ||||||
122569192 | 12256919 | 5 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | UNK | U | 0 | |||||||||
122569192 | 12256919 | 6 | C | LEXAPRO | ESCITALOPRAM OXALATE | 1 | Oral | 10 MG, QD | U | 0 | 10 | MG | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
122569192 | 12256919 | 1 | Multiple sclerosis |
122569192 | 12256919 | 2 | Multiple sclerosis |
122569192 | 12256919 | 3 | Multiple sclerosis |
122569192 | 12256919 | 4 | Multiple sclerosis |
122569192 | 12256919 | 5 | Multiple sclerosis |
122569192 | 12256919 | 6 | Depression |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
122569192 | 12256919 | HO |
122569192 | 12256919 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
122569192 | 12256919 | 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 |
---|---|---|---|---|---|---|
122569192 | 12256919 | 1 | 20130208 | 20160314 | 0 | |
122569192 | 12256919 | 2 | 20141213 | 0 | ||
122569192 | 12256919 | 3 | 20120214 | 0 | ||
122569192 | 12256919 | 4 | 20111108 | 0 | ||
122569192 | 12256919 | 6 | 20140325 | 0 |