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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125771171 | 12577117 | 1 | I | 20160715 | 20160720 | 20160720 | PER | US-BAXALTA-2016BLT005221 | BAXALTA | 0.00 | F | Y | 69.39000 | KG | 20160720 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125771171 | 12577117 | 1 | PS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | Parenteral | U | 125105 | SOLUTION FOR INFUSION | |||||||||
| 125771171 | 12577117 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, EVERY 12 HOURS | U | 0 | 10 | MG | Q12H | ||||||
| 125771171 | 12577117 | 3 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 4 | C | DEXTROSE SALINE | DEXTROSESODIUM CHLORIDE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 5 | C | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 6 | C | EPIPEN | EPINEPHRINE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 7 | C | HEPARIN | HEPARIN SODIUM | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 8 | C | SODIUM CHLORIDE. | SODIUM CHLORIDE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 9 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 10 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 50000 IU, UNK | 0 | 50000 | IU | |||||||||
| 125771171 | 12577117 | 11 | C | COPAXONE | GLATIRAMER ACETATE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 12 | C | ORTHO TRI CYCLEN LO | ETHINYL ESTRADIOLNORGESTIMATE | 1 | 0 | ||||||||||||
| 125771171 | 12577117 | 13 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125771171 | 12577117 | 1 | Product used for unknown indication |
| 125771171 | 12577117 | 2 | Multiple sclerosis |
| 125771171 | 12577117 | 3 | Product used for unknown indication |
| 125771171 | 12577117 | 4 | Product used for unknown indication |
| 125771171 | 12577117 | 5 | Product used for unknown indication |
| 125771171 | 12577117 | 6 | Product used for unknown indication |
| 125771171 | 12577117 | 7 | Product used for unknown indication |
| 125771171 | 12577117 | 8 | Product used for unknown indication |
| 125771171 | 12577117 | 9 | Product used for unknown indication |
| 125771171 | 12577117 | 10 | Product used for unknown indication |
| 125771171 | 12577117 | 11 | Product used for unknown indication |
| 125771171 | 12577117 | 12 | Product used for unknown indication |
| 125771171 | 12577117 | 13 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125771171 | 12577117 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125771171 | 12577117 | Fluid overload | |
| 125771171 | 12577117 | Headache | |
| 125771171 | 12577117 | Meningitis aseptic |
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 |
|---|---|---|---|---|---|---|
| 125771171 | 12577117 | 2 | 20140522 | 0 |