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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124676533 | 12467653 | 3 | F | 20160627 | 20160705 | 20160615 | 20160719 | EXP | US-ACORDA-ACO_124806_2016 | ACORDA | 50.30 | YR | F | Y | 80.73000 | KG | 20160719 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124676533 | 12467653 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | Y | 000079810 | 22250 | 10 | MG | TABLET | BID | ||||
124676533 | 12467653 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Y | 22250 | TABLET | ||||||||||
124676533 | 12467653 | 3 | SS | TECFIDERA | DIMETHYL FUMARATE | 1 | Oral | 240 MG, UNK | U | U | 0 | 240 | MG | ||||||
124676533 | 12467653 | 4 | C | BACLOFEN. | BACLOFEN | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 5 | C | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 6 | C | NAMENDA | MEMANTINE HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 7 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 8 | C | FETZIMA | LEVOMILNACIPRAN HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 9 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 10 | C | TRAZODONE HYDROCHLORIDE. | TRAZODONE HYDROCHLORIDE | 1 | Unknown | UNK | U | 0 | |||||||||
124676533 | 12467653 | 11 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
124676533 | 12467653 | 1 | Multiple sclerosis |
124676533 | 12467653 | 2 | Gait disturbance |
124676533 | 12467653 | 3 | Product used for unknown indication |
124676533 | 12467653 | 4 | Product used for unknown indication |
124676533 | 12467653 | 5 | Product used for unknown indication |
124676533 | 12467653 | 6 | Product used for unknown indication |
124676533 | 12467653 | 7 | Product used for unknown indication |
124676533 | 12467653 | 8 | Product used for unknown indication |
124676533 | 12467653 | 9 | Product used for unknown indication |
124676533 | 12467653 | 10 | Product used for unknown indication |
124676533 | 12467653 | 11 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
124676533 | 12467653 | HO |
124676533 | 12467653 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
124676533 | 12467653 | Condition aggravated | |
124676533 | 12467653 | Fall | |
124676533 | 12467653 | Livedo reticularis | |
124676533 | 12467653 | Multiple sclerosis relapse |
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 |
---|---|---|---|---|---|---|
124676533 | 12467653 | 1 | 201603 | 20160630 | 0 |