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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095691 | 12609569 | 1 | I | 20150914 | 20160603 | 20160801 | 20160801 | PER | US-TEVA-666543USA | TEVA | 64.27 | YR | M | Y | 0.00000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126095691 | 12609569 | 1 | PS | BACLOFEN. | BACLOFEN | 1 | Oral | 80 MILLIGRAM DAILY; | 72234 | 10 | MG | ||||||||
| 126095691 | 12609569 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 20 MILLIGRAM DAILY; | Y | 0 | 10 | MG | TABLET | Q12H | |||||
| 126095691 | 12609569 | 3 | SS | AMPYRA | DALFAMPRIDINE | 1 | Y | 0 | |||||||||||
| 126095691 | 12609569 | 4 | SS | TIZANIDINE. | TIZANIDINE | 1 | Oral | 12 MILLIGRAM DAILY; | 0 | 4 | MG | TABLET | TID | ||||||
| 126095691 | 12609569 | 5 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 126095691 | 12609569 | 6 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126095691 | 12609569 | 1 | Muscle spasms |
| 126095691 | 12609569 | 2 | Multiple sclerosis |
| 126095691 | 12609569 | 3 | Gait disturbance |
| 126095691 | 12609569 | 4 | Muscle spasms |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126095691 | 12609569 | Constipation | |
| 126095691 | 12609569 | Dizziness |
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 |
|---|---|---|---|---|---|---|
| 126095691 | 12609569 | 1 | 2012 | 0 | ||
| 126095691 | 12609569 | 2 | 20150914 | 20150930 | 0 | |
| 126095691 | 12609569 | 4 | 201501 | 0 | ||
| 126095691 | 12609569 | 5 | 2001 | 0 |