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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126067301 | 12606730 | 1 | I | 20160401 | 20160404 | 20160729 | 20160729 | EXP | GB-TEVA-650185ACC | TEVA | 34.70 | YR | F | Y | 0.00000 | 20160729 | CN | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126067301 | 12606730 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | 20 MILLIGRAM/MILLILITERS DAILY; | Y | 20622 | INJECTION | QD | |||||||
| 126067301 | 12606730 | 2 | C | Amitriptyline | AMITRIPTYLINE | 1 | 40 MILLIGRAM DAILY; | 0 | 10 | MG | |||||||||
| 126067301 | 12606730 | 3 | C | DIAZEPAM. | DIAZEPAM | 1 | AS REQUIRED | 0 | |||||||||||
| 126067301 | 12606730 | 4 | C | GABAPENTIN. | GABAPENTIN | 1 | 600 MILLIGRAM DAILY; | 0 | 300 | MG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126067301 | 12606730 | 1 | Multiple sclerosis |
| 126067301 | 12606730 | 2 | Pain |
| 126067301 | 12606730 | 4 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126067301 | 12606730 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126067301 | 12606730 | Back pain | |
| 126067301 | 12606730 | Chills | |
| 126067301 | 12606730 | Dyspnoea | |
| 126067301 | 12606730 | Hypopnoea | |
| 126067301 | 12606730 | Neck pain | |
| 126067301 | 12606730 | Respiratory rate increased | |
| 126067301 | 12606730 | Syncope | |
| 126067301 | 12606730 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 126067301 | 12606730 | 1 | 20150701 | 20160404 | 0 |