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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126096851 | 12609685 | 1 | I | 20160726 | 0 | 20160729 | 20160729 | DIR | 50.00 | YR | F | N | 0.00000 | 20160728 | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126096851 | 12609685 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | TCNV | 20180430 | 0 | 10 | MG | Q12H | ||||
| 126096851 | 12609685 | 3 | C | RITUXAN | RITUXIMAB | 1 | 0 | ||||||||||||
| 126096851 | 12609685 | 5 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126096851 | 12609685 | 7 | C | LIZANIDINE | 2 | 0 | |||||||||||||
| 126096851 | 12609685 | 9 | C | MODAFINIL. | MODAFINIL | 1 | 0 | ||||||||||||
| 126096851 | 12609685 | 11 | C | BUPROPION. | BUPROPION | 1 | 0 | ||||||||||||
| 126096851 | 12609685 | 13 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | 0 | ||||||||||||
| 126096851 | 12609685 | 15 | C | CABERGOLINE. | CABERGOLINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126096851 | 12609685 | 1 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126096851 | 12609685 | B-lymphocyte count decreased | |
| 126096851 | 12609685 | CD4 lymphocytes decreased | |
| 126096851 | 12609685 | Laboratory test abnormal | |
| 126096851 | 12609685 | T-lymphocyte count increased |
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 |
|---|---|---|---|---|---|---|
| 126096851 | 12609685 | 1 | 201602 | 0 |