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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126064031 | 12606403 | 1 | I | 20160721 | 0 | 20160728 | 20160728 | DIR | 53.00 | YR | F | N | 0.00000 | 20160727 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126064031 | 12606403 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | 44MCG 3X/WEEK SC | D | D | AU015917 | 20170930 | 0 | 44 | UG | TIW | |||
| 126064031 | 12606403 | 3 | C | ASPIRIN. | ASPIRIN | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 5 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 7 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 9 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 11 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 13 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 15 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 17 | C | VITAMIN D2 | ERGOCALCIFEROL | 1 | 0 | ||||||||||||
| 126064031 | 12606403 | 19 | C | BACLOFEN. | BACLOFEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126064031 | 12606403 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126064031 | 12606403 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126064031 | 12606403 | Disease recurrence | |
| 126064031 | 12606403 | Influenza like illness |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126064031 | 12606403 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126064031 | 12606403 | 1 | 20160304 | 0 |