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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125833122 | 12583312 | 2 | F | 201604 | 20160713 | 20160722 | 20160725 | EXP | US-SA-2016SA092444 | AVENTIS | 50.00 | YR | A | F | Y | 0.00000 | 20160725 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125833122 | 12583312 | 1 | PS | AUBAGIO | TERIFLUNOMIDE | 1 | Oral | U | UNKNOWN | 202992 | 14 | MG | TABLET | QD | |||||
| 125833122 | 12583312 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | U | UNKNOWN | 0 | 10 | MG | BID | ||||||
| 125833122 | 12583312 | 3 | C | AMANTADINE HYDROCHLORIDE. | AMANTADINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125833122 | 12583312 | 4 | C | TAMSULOSIN HYDROCHLORIDE. | TAMSULOSIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125833122 | 12583312 | 5 | C | TRIMIPRAMINE MALEATE. | TRIMIPRAMINE MALEATE | 1 | 0 | ||||||||||||
| 125833122 | 12583312 | 6 | C | TRAVATAN Z | TRAVOPROST | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125833122 | 12583312 | 1 | Multiple sclerosis |
| 125833122 | 12583312 | 2 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125833122 | 12583312 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125833122 | 12583312 | Alopecia | |
| 125833122 | 12583312 | Balance disorder | |
| 125833122 | 12583312 | Fall | |
| 125833122 | 12583312 | Walking aid user |
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 |
|---|---|---|---|---|---|---|
| 125833122 | 12583312 | 2 | 2016 | 20160620 | 0 |