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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123654242 | 12365424 | 2 | F | 2016 | 20160711 | 20160513 | 20160721 | EXP | CA-BAYER-2016-087355 | BAYER | 56.00 | YR | A | F | Y | 0.00000 | 20160721 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123654242 | 12365424 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | 0.250 MG, UNK | 0 | .25 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | ||||||||
| 123654242 | 12365424 | 2 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 3 | C | MULTIVITAMIN | VITAMINS | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 4 | C | CALCIUM | CALCIUM | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 5 | C | RANITIDINE. | RANITIDINE | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 6 | C | COVERSYL | PERINDOPRIL | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 7 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 8 | C | VITAMIN D | CHOLECALCIFEROL | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 9 | C | VESICARE | SOLIFENACIN SUCCINATE | 1 | UNK | 0 | |||||||||||
| 123654242 | 12365424 | 10 | C | FAMPYRA | DALFAMPRIDINE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123654242 | 12365424 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123654242 | 12365424 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123654242 | 12365424 | Chills | |
| 123654242 | 12365424 | Injection site bruising | |
| 123654242 | 12365424 | Injection site erythema | |
| 123654242 | 12365424 | Injection site induration | |
| 123654242 | 12365424 | Mobility decreased |
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 |
|---|---|---|---|---|---|---|
| 123654242 | 12365424 | 1 | 20050101 | 0 |