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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124857162 | 12485716 | 2 | F | 20160519 | 20160705 | 20160621 | 20160715 | EXP | US-BAYER-2016-113521 | BAYER | 55.00 | YR | A | F | Y | 0.00000 | 20160715 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124857162 | 12485716 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | Y | 103471 | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | ||||||||||
| 124857162 | 12485716 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | 0H105V | 0 | 10 | MG | BID | ||||||
| 124857162 | 12485716 | 3 | SS | TECFIDERA | DIMETHYL FUMARATE | 1 | UNK UNK, UNK | 0 | |||||||||||
| 124857162 | 12485716 | 4 | C | BACLOFEN. | BACLOFEN | 1 | 0 | ||||||||||||
| 124857162 | 12485716 | 5 | C | VITAMIN D [ERGOCALCIFEROL] | 2 | 0 | |||||||||||||
| 124857162 | 12485716 | 6 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 124857162 | 12485716 | 7 | C | CALCIUM | CALCIUM | 1 | 0 | ||||||||||||
| 124857162 | 12485716 | 8 | C | RANITIDINE. | RANITIDINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124857162 | 12485716 | 1 | Product used for unknown indication |
| 124857162 | 12485716 | 2 | Multiple sclerosis |
| 124857162 | 12485716 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124857162 | 12485716 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124857162 | 12485716 | Dizziness | |
| 124857162 | 12485716 | Lymphocyte count decreased | |
| 124857162 | 12485716 | Ovarian cancer | |
| 124857162 | 12485716 | Supraventricular tachycardia | |
| 124857162 | 12485716 | Uterine cancer | |
| 124857162 | 12485716 | White blood cell count 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 |
|---|---|---|---|---|---|---|
| 124857162 | 12485716 | 2 | 201010 | 201101 | 0 |