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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125036862 | 12503686 | 2 | F | 20160203 | 20160902 | 20160628 | 20160915 | EXP | US-ACORDA-ACO_125256_2016 | ACORDA | 48.00 | YR | F | Y | 0.00000 | 20160915 | CN | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125036862 | 12503686 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | Y | U | 22250 | 10 | MG | TABLET | BID | ||||
| 125036862 | 12503686 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Y | U | 22250 | TABLET | |||||||||
| 125036862 | 12503686 | 3 | C | TECFIDERA | DIMETHYL FUMARATE | 1 | Oral | 240 MG, BID | U | 0 | 240 | MG | BID | ||||||
| 125036862 | 12503686 | 4 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 125036862 | 12503686 | 5 | C | Amantadine | AMANTADINE | 1 | Oral | 100 MG, BID | U | 0 | 100 | MG | BID | ||||||
| 125036862 | 12503686 | 6 | C | Multivitamins | VITAMINS | 1 | Unknown | UNK | U | 0 | |||||||||
| 125036862 | 12503686 | 7 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 10000 UNK, UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125036862 | 12503686 | 1 | Gait disturbance |
| 125036862 | 12503686 | 2 | Multiple sclerosis |
| 125036862 | 12503686 | 3 | Product used for unknown indication |
| 125036862 | 12503686 | 4 | Mental disorder |
| 125036862 | 12503686 | 5 | Product used for unknown indication |
| 125036862 | 12503686 | 6 | Product used for unknown indication |
| 125036862 | 12503686 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125036862 | 12503686 | HO |
| 125036862 | 12503686 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125036862 | 12503686 | 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 |
|---|---|---|---|---|---|---|
| 125036862 | 12503686 | 1 | 201512 | 20160207 | 0 |