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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095591 | 12609559 | 1 | I | 2014 | 20160316 | 20160801 | 20160801 | PER | US-TEVA-644751USA | TEVA | 0.00 | F | Y | 59.02000 | KG | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095591 | 12609559 | 1 | PS | BACLOFEN. | BACLOFEN | 1 | Oral | 10 MILLIGRAM DAILY; | Y | 72234 | 10 | MG | QD | ||||||
| 126095591 | 12609559 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 20 MILLIGRAM DAILY; | Y | 0 | 10 | MG | TABLET | BID | |||||
| 126095591 | 12609559 | 3 | C | NIFEDIPINE. | NIFEDIPINE | 1 | 60 MILLIGRAM DAILY; | 0 | 30 | MG | BID | ||||||||
| 126095591 | 12609559 | 4 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 75 MICROGRAM DAILY; | 0 | 75 | UG | QD | ||||||||
| 126095591 | 12609559 | 5 | C | GABAPENTIN. | GABAPENTIN | 1 | 400 MILLIGRAM DAILY; | 0 | 100 | MG | QID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126095591 | 12609559 | 1 | Product used for unknown indication |
| 126095591 | 12609559 | 2 | Gait disturbance |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126095591 | 12609559 | Dizziness | |
| 126095591 | 12609559 | Drug intolerance | |
| 126095591 | 12609559 | Gait disturbance |
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 |
|---|---|---|---|---|---|---|
| 126095591 | 12609559 | 1 | 2014 | 0 | ||
| 126095591 | 12609559 | 2 | 201003 | 0 | ||
| 126095591 | 12609559 | 3 | 2006 | 0 | ||
| 126095591 | 12609559 | 4 | 1990 | 0 | ||
| 126095591 | 12609559 | 5 | 2011 | 0 |