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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126120962 | 12612096 | 2 | F | 20160615 | 20160801 | 20160801 | 20160815 | EXP | US-ACORDA-ACO_126537_2016 | ACORDA | 58.30 | YR | F | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126120962 | 12612096 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 10 MG, BID | U | U | 0000079809 | 22250 | 10 | MG | TABLET | BID | |||
| 126120962 | 12612096 | 2 | C | AUBAGIO | TERIFLUNOMIDE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126120962 | 12612096 | 3 | C | Centrum silver | MINERALSVITAMINS | 1 | Unknown | UNK | U | 0 | TABLET | ||||||||
| 126120962 | 12612096 | 4 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | 20 MG, UNK | U | 0 | 20 | MG | TABLET | ||||||
| 126120962 | 12612096 | 5 | C | Fluoxetine hcl | FLUOXETINE HYDROCHLORIDE | 1 | Unknown | 40 MG, UNK | U | 0 | 40 | MG | CAPSULE | ||||||
| 126120962 | 12612096 | 6 | C | ACTIVELLA | ESTRADIOLNORETHINDRONE ACETATE | 1 | Unknown | 0.5-0.1 MG | U | 0 | TABLET | ||||||||
| 126120962 | 12612096 | 7 | C | BACLOFEN. | BACLOFEN | 1 | Unknown | 10 MG, UNK | U | 0 | 10 | MG | TABLET | ||||||
| 126120962 | 12612096 | 8 | C | Amantadine | AMANTADINE | 1 | Unknown | 100 MG, UNK | U | 0 | 100 | MG | CAPSULE | ||||||
| 126120962 | 12612096 | 9 | C | Oxybutynin | OXYBUTYNIN | 1 | Unknown | 5 MG, UNK | U | 0 | 5 | MG | TABLET | ||||||
| 126120962 | 12612096 | 10 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 5000 IU, UNK | U | 0 | 5000 | IU | CAPSULE | ||||||
| 126120962 | 12612096 | 11 | C | Calcium 600+D | CALCIUMVITAMIN D | 1 | Unknown | UNK | U | 0 | TABLET | ||||||||
| 126120962 | 12612096 | 12 | C | Evening primrose oil | EVENING PRIMROSE OIL | 1 | Unknown | 500 MG, UNK | U | 0 | 500 | MG | CAPSULE |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126120962 | 12612096 | 1 | Multiple sclerosis |
| 126120962 | 12612096 | 2 | Product used for unknown indication |
| 126120962 | 12612096 | 3 | Product used for unknown indication |
| 126120962 | 12612096 | 4 | Product used for unknown indication |
| 126120962 | 12612096 | 5 | Product used for unknown indication |
| 126120962 | 12612096 | 6 | Product used for unknown indication |
| 126120962 | 12612096 | 7 | Product used for unknown indication |
| 126120962 | 12612096 | 8 | Product used for unknown indication |
| 126120962 | 12612096 | 9 | Product used for unknown indication |
| 126120962 | 12612096 | 10 | Product used for unknown indication |
| 126120962 | 12612096 | 11 | Product used for unknown indication |
| 126120962 | 12612096 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126120962 | 12612096 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126120962 | 12612096 | Death |
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 |
|---|---|---|---|---|---|---|
| 126120962 | 12612096 | 1 | 201205 | 0 |