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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125692011 | 12569201 | 1 | I | 20160704 | 0 | 20160718 | 20160718 | DIR | 69.00 | YR | F | N | 0.00000 | 20160715 | Y | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125692011 | 12569201 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | TCNV | 20180430 | 0 | 10 | MG | Q12H | ||||
| 125692011 | 12569201 | 2 | C | LASIX | FUROSEMIDE | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 3 | C | BOTOX | ONABOTULINUMTOXINA | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 4 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 5 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 6 | C | HUMULIN N KWIKPEN | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 7 | C | LIORESAL | BACLOFEN | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 8 | C | INSULIN LISPRO (HUMALOG KWIKPEN) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 9 | C | ALBUTEROL (PROAIR/PROVENTIL/VENTOLIN) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 10 | C | MODAFINIL (PROVIGIL) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 11 | C | NORVASC | AMLODIPINE BESYLATE | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 12 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 13 | C | OXYBUTYNIN (DITROPAN XL) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 14 | C | BECLOMETHASONE DIPROPIONATE (QVAR) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 15 | C | LISINOPRIL (PRINIVIL/ZESTRIL) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 16 | C | MOBIC | MELOXICAM | 1 | 0 | ||||||||||||
| 125692011 | 12569201 | 17 | C | ESTROGENS CONJUGATED (PREMARIN) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 18 | C | DOCOSAHEXANOIC ACID/EPA (FISH OIL ORAL) | 2 | 0 | |||||||||||||
| 125692011 | 12569201 | 19 | C | ASPIRIN (ECOTRIN LOW STRENGTH) | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125692011 | 12569201 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125692011 | 12569201 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125692011 | 12569201 | Enterococcus test positive | |
| 125692011 | 12569201 | Proteus test positive | |
| 125692011 | 12569201 | Urinary tract infection |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 125692011 | 12569201 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 125692011 | 12569201 | 1 | 201006 | 0 |