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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125453551 | 12545355 | 1 | I | 20160629 | 20160711 | 20160711 | EXP | US-BAYER-2016-128875 | BAYER | 0.00 | F | Y | 88.40000 | KG | 20160711 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125453551 | 12545355 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | 103471 | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | |||||||||||
125453551 | 12545355 | 2 | C | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | 0 | 10 | MG | BID | |||||||
125453551 | 12545355 | 3 | C | GILENYA | FINGOLIMOD HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
125453551 | 12545355 | 4 | C | COPAXONE | GLATIRAMER ACETATE | 1 | 0 | ||||||||||||
125453551 | 12545355 | 5 | C | REBIF | INTERFERON BETA-1A | 1 | 0 | ||||||||||||
125453551 | 12545355 | 6 | C | BACLOFEN. | BACLOFEN | 1 | UNK | 0 | |||||||||||
125453551 | 12545355 | 7 | C | PROVIGIL | MODAFINIL | 1 | UNK | 0 | |||||||||||
125453551 | 12545355 | 8 | C | VOLTAREN | DICLOFENAC SODIUM | 1 | UNK | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125453551 | 12545355 | 1 | Multiple sclerosis |
125453551 | 12545355 | 2 | Gait disturbance |
125453551 | 12545355 | 3 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125453551 | 12545355 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125453551 | 12545355 | Back pain | |
125453551 | 12545355 | Drug ineffective | |
125453551 | 12545355 | Full blood count decreased | |
125453551 | 12545355 | Gait disturbance | |
125453551 | 12545355 | Secondary progressive multiple sclerosis |
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 |
---|---|---|---|---|---|---|
125453551 | 12545355 | 2 | 20141118 | 201507 | 0 | |
125453551 | 12545355 | 3 | 201106 | 20150915 | 0 |