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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126224881 | 12622488 | 1 | I | 201605 | 20160712 | 20160804 | 20160804 | PER | US-TEVA-677728USA | TEVA | 59.80 | YR | F | Y | 0.00000 | 20160804 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126224881 | 12622488 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | U | 30-NOV-2017 | 20622 | 40 | MG | INJECTION | TIW | |||||
| 126224881 | 12622488 | 2 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | 40 | MG | TABLET | ||||||||
| 126224881 | 12622488 | 3 | C | LORAZEPAM. | LORAZEPAM | 1 | 0 | 2 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 4 | C | Magnesium | MAGNESIUM | 1 | 0 | 500 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 5 | C | IBUPROFEN. | IBUPROFEN | 1 | 0 | 800 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 6 | C | IPratropium/solalbuter | 2 | Unknown | 0 | TABLET | |||||||||||
| 126224881 | 12622488 | 7 | C | MELOXICAM. | MELOXICAM | 1 | 0 | 7.5 | UG | CAPSULE | |||||||||
| 126224881 | 12622488 | 8 | C | LINZESS | LINACLOTIDE | 1 | 0 | 145 | UG | CAPSULE | |||||||||
| 126224881 | 12622488 | 9 | C | Proctofoam HER HC 1% | 2 | 0 | |||||||||||||
| 126224881 | 12622488 | 10 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 | ||||||||||||
| 126224881 | 12622488 | 11 | C | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126224881 | 12622488 | 12 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | 10 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 13 | C | NYSTATIN. | NYSTATIN | 1 | 0 | ||||||||||||
| 126224881 | 12622488 | 14 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | 20 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 15 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | TABLET | |||||||||||
| 126224881 | 12622488 | 16 | C | ANUCORT-HC | HYDROCORTISONE ACETATE | 1 | 0 | 25 | MG | ||||||||||
| 126224881 | 12622488 | 17 | C | Atorvastatin | ATORVASTATIN | 1 | 0 | 20 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 18 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | 100 | MG | CAPSULE | |||||||||
| 126224881 | 12622488 | 19 | C | Albuterol Neb | 2 | 0.083% | 0 | ||||||||||||
| 126224881 | 12622488 | 20 | C | ALLOPURINOL. | ALLOPURINOL | 1 | 0 | 300 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 21 | C | ANASTROZOLE. | ANASTROZOLE | 1 | 0 | 1 | MG | TABLET | |||||||||
| 126224881 | 12622488 | 22 | C | FLUTICASONE | FLUTICASONEFLUTICASONE PROPIONATE | 1 | 0 | 50 | UG | ||||||||||
| 126224881 | 12622488 | 23 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126224881 | 12622488 | 24 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | ||||||||||||
| 126224881 | 12622488 | 25 | C | fish oil | FISH OIL | 1 | 0 | 1000 | MG | CAPSULE | |||||||||
| 126224881 | 12622488 | 26 | C | DIAZEPAM. | DIAZEPAM | 1 | 0 | 100 | MG | TABLET |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126224881 | 12622488 | Arthralgia | |
| 126224881 | 12622488 | Asthenia | |
| 126224881 | 12622488 | Fatigue | |
| 126224881 | 12622488 | Pain in extremity |
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 |
|---|---|---|---|---|---|---|
| 126224881 | 12622488 | 1 | 201511 | 0 |