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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124164292 | 12416429 | 2 | F | 20160623 | 20160530 | 20160706 | PER | US-TEVA-662192USA | TEVA | 0.00 | F | Y | 0.00000 | 20160706 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124164292 | 12416429 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | V02001 | 20622 | 40 | MG | INJECTION | TIW | ||||||
| 124164292 | 12416429 | 2 | C | YAZ | DROSPIRENONEETHINYL ESTRADIOL | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 3 | C | FISH OIL | FISH OIL | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 4 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 5 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 6 | C | CALCIUM D | CALCIUMVITAMIN D | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 7 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | Unknown | 0 | |||||||||||
| 124164292 | 12416429 | 8 | C | PROVIGIL | MODAFINIL | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124164292 | 12416429 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124164292 | 12416429 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124164292 | 12416429 | Fatigue | |
| 124164292 | 12416429 | Multiple sclerosis relapse |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |